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Managed Care after Acute Myocardial Infarction (KOS-zawał) reduces major adverse cardiovascular events by 45% in 3-month follow-up – single-center results of Poland’s National Health Fund program of comprehensive post-myocardial infarction care by Krystian Wita; Andrzej Kułach; Marcin Wita; Maciej Wybraniec; Katarzyna Wilkosz; Mateusz Polak; Monika Matla; Łukasz Maciejewski; Joanna Fluder; Barbara Kalańska-Łukasik; Tomasz Skowerski; Szymon Gomułka; Krzysztof Szydło is a Medicine article available to read on EtoBox.

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## Introduction Despite progress in medical and interventional treatment of acute myocardial infarction (AMI) resulting in low in-hospital mortality, the post-discharge prognosis in MI survivors is still unacceptable. The Managed Care in Acute Myocardial Infarction (MC-AMI, KOS-zawał) is a program introduced by Poland’s National Health Fund aiming at comprehensive care for patients with AMI to improve prognosis. It includes acute intervention, complex revascularization, cardiac rehabilitation (CR), scheduled outpatient follow-up, and prevention of sudden cardiac death. The aim of the study was to assess the effect of MC-AMI on major adverse cardiovascular events (MACE) in 3-month follow-up. ## Material and methods In this single-center, retrospective observational study we enrolled 1211 patients, and compared them to 1130 subjects in the control group. After 1 : 1 propensity score matching two groups of 529 subjects each were compared. Cox regression was performed to assess the effect of MC-AMI and other variables on MACE. ## Results MC-AMI participation is related to reduced MACE rate by 45% in a 3-month observation. Multivariable Cox regression analysis revealed MC-AMI participat

Who reads Managed Care after Acute Myocardial Infarction (KOS-zawał) reduces major adverse cardiovascular events by 45% in 3-month follow-up – single-center results of Poland’s National Health Fund program of comprehensive post-myocardial infarction care?

Author

Krystian Wita; Andrzej Kułach; Marcin Wita; Maciej Wybraniec; Katarzyna Wilkosz; Mateusz Polak; Monika Matla; Łukasz Maciejewski; Joanna Fluder; Barbara Kalańska-Łukasik; Tomasz Skowerski; Szymon Gomułka; Krzysztof Szydło

Published

2019

Language

EN

Field

Medicine (Health Sciences)