The Impact of Vascular Access for In-Hospital Major Bleeding in Patients with Acute Coronary Syndrome at Moderate- to Very High-Bleeding Risk
DC Field | Value | Language |
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dc.contributor.author | Park, Keun-Ho | - |
dc.contributor.author | Jeong, Myung Ho | - |
dc.contributor.author | Ahn, Youngkeun | - |
dc.contributor.author | Jung, Sang Sik | - |
dc.contributor.author | Kim, Moo Hyun | - |
dc.contributor.author | Yang, Hyoung-Mo | - |
dc.contributor.author | Yoon, Junghan | - |
dc.contributor.author | Rha, Seung Woon | - |
dc.contributor.author | Park, Keum Soo | - |
dc.contributor.author | Han, Kyoo Rok | - |
dc.contributor.author | Cho, Byung Ryul | - |
dc.contributor.author | Cha, Kwang Soo | - |
dc.contributor.author | Kim, Byung Ok | - |
dc.contributor.author | Hyon, Min Soo | - |
dc.contributor.author | Shin, Won-Yong | - |
dc.contributor.author | Choe, Hyunmin | - |
dc.contributor.author | Bae, Jang-Whan | - |
dc.contributor.author | Kim, Hee Yeol | - |
dc.date.accessioned | 2021-09-05T22:15:00Z | - |
dc.date.available | 2021-09-05T22:15:00Z | - |
dc.date.created | 2021-06-14 | - |
dc.date.issued | 2013-09 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/102319 | - |
dc.description.abstract | The aim of our study was to determine the impact of vascular access on in-hospital major bleeding (IHMB) in acute coronary syndrome (ACS). We analyzed 995 patients with non-ST elevation myocardial infarction and unstable angina at the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA guidelines (CRUSADE) moderate- to very high-bleeding risk scores in trans-radial intervention (TRI) retrospective registry from 16 centers in Korea. A total of 402 patients received TRI and 593 patients did trans-femoral intervention (TFI). The primary end-point was IHMB as defined in the CRUSADE. There were no significant differences in in-hospital and 1-yr mortality rates between two groups. However, TRI had lower incidences of IHMB and blood transfusion than TFI (6.0% vs 9.4%, P = 0.048; 4.5% vs 9.4%, P = 0.003). The patients suffered from IHMB had higher incidences of in-hospital and 1-yr mortality than those free from IHMB (3.1% vs 15.0%, P < 0.001; 7.2% vs 30.0%, P < 0.001). TRI was an independent negative predictor of IHMB (odds ratio, 0.305; 95% confidence interval, 0.109-0.851; P = 0.003). In conclusions, IHMB is still significantly correlated with in-hospital and 1-yr mortality. Our study suggests that compared to TFI, TRI could reduce IHMB in patients with ACS at moderate-to very high-bleeding risk. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | - |
dc.subject | ACUTE MYOCARDIAL-INFARCTION | - |
dc.subject | CLINICAL-OUTCOMES | - |
dc.subject | BLOOD-TRANSFUSION | - |
dc.subject | RANDOMIZED-TRIAL | - |
dc.subject | ACUITY TRIAL | - |
dc.subject | INTERVENTION | - |
dc.subject | BIVALIRUDIN | - |
dc.subject | MORTALITY | - |
dc.subject | ENOXAPARIN | - |
dc.subject | REGISTRY | - |
dc.title | The Impact of Vascular Access for In-Hospital Major Bleeding in Patients with Acute Coronary Syndrome at Moderate- to Very High-Bleeding Risk | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Rha, Seung Woon | - |
dc.identifier.doi | 10.3346/jkms.2013.28.9.1307 | - |
dc.identifier.scopusid | 2-s2.0-84884397309 | - |
dc.identifier.wosid | 000324547000008 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, v.28, no.9, pp.1307 - 1315 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.title | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.volume | 28 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1307 | - |
dc.citation.endPage | 1315 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001802020 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | ACUTE MYOCARDIAL-INFARCTION | - |
dc.subject.keywordPlus | CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | BLOOD-TRANSFUSION | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | ACUITY TRIAL | - |
dc.subject.keywordPlus | INTERVENTION | - |
dc.subject.keywordPlus | BIVALIRUDIN | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | ENOXAPARIN | - |
dc.subject.keywordPlus | REGISTRY | - |
dc.subject.keywordAuthor | Acute Coronary Syndrome | - |
dc.subject.keywordAuthor | Radial Artery | - |
dc.subject.keywordAuthor | Hemorrhage | - |
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