{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T10:37:00Z","timestamp":1777545420320,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JRSM Cardiovascular Disease"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Efforts were made to improve management of coronary disease as the fast-track system to the Coronary Unit. We aim to analyse case-fatality rates by acute coronary syndrome in Portugal from 2000 to 2016, mainly the impact of the fast-track system and the proportion of patients that activate the fast-track system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed monthly acute coronary syndrome case-fatality before and after the implementation of the fast-track system in 2007. Impact of the system was assessed through regression models for interrupted time-series. We calculated annual proportion of fast-track system admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After 2007 case-fatality by acute coronary syndrome decreased (\u03b2=\u22121.27, p-value\u2009&lt;\u20090.01). The estimates obtained for ST Elevation Myocardial Infarction suggest a reduction of nearly 86 monthly deaths prevented after 2007. The highest percentage of patients admitted through the fast-track system was 35%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results suggest fast-track system may have contributed to a decline in acute coronary syndrome case-fatality. However, more than half of patients were not admitted through the system. This should encourage health authorities to make efforts to ensure compliance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2048004019851952","type":"journal-article","created":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T05:01:22Z","timestamp":1558674082000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends of case-fatality rate by acute coronary syndrome in Portugal: Impact of a fast track to the coronary unit"],"prefix":"10.1177","volume":"8","author":[{"given":"D","family":"Abreu","sequence":"first","affiliation":[{"name":"Escola Nacional de Sa\u00fade P\u00fablica, Universidade Nova de Lisboa, Lisboa, Portugal"}]},{"given":"FJ","family":"Pinto","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte \u2013 EPE, Centro, Acad\u00e9mico Medicina de Lisboa, Lisboa, Portugal"},{"name":"Centro Cardiovascular da Universidade de Lisboa, Lisboa, Portugal"}]},{"given":"C","family":"Matias-Dias","sequence":"additional","affiliation":[{"name":"Department of Epidemiology of the Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, Lisboa, Portugal"}]},{"given":"P","family":"Sousa","sequence":"additional","affiliation":[{"name":"Escola Nacional de Sa\u00fade P\u00fablica, Universidade Nova de Lisboa, Lisboa, Portugal"},{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica \u2013 ENSP-UNL, Lisboa, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2019,5,24]]},"reference":[{"key":"bibr1-2048004019851952","volume-title":"Portugal Doen\u00e7as C\u00e9rebro-Cardiovasculares em N\u00fameros 2015 (Portugal Cerebro-Cardiovascular Diseases in Numbers 2015)","year":"2016"},{"key":"bibr2-2048004019851952","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030442"},{"key":"bibr3-2048004019851952","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu299"},{"key":"bibr4-2048004019851952","volume":"39","author":"Karwalajtys T","year":"2010","journal-title":"Risk Manage Healthc Policy"},{"key":"bibr5-2048004019851952","first-page":"000264","volume":"113","author":"Pereira M","year":"2013","journal-title":"Circulation"},{"key":"bibr6-2048004019851952","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht159"},{"key":"bibr7-2048004019851952","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13010020"},{"key":"bibr8-2048004019851952","unstructured":"Administra\u00e7\u00e3o Central do Sistema de Sa\u00fade IPA, I.P. 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