@article{21621,
  author = {Ranasinghe I. and Aliprandi-Costa B. and Chew D. and French J. and Brieger D. and Troughton R. and Gamble G. and White H. and Briffa T. and Carr B. and Hyun K. and Astley C. and Howell T. and Lintern K. and Hammett C. and Ellis C. and Devlin G. and Elliott J. and Lefkovitz J. and Bloomer S. and Farshid A. and Matsis P. and Hamer A. and Williams M. and Horsfall M. and Redfern J},
  title = {A comparison of the management and in-hospital outcomes of acute coronary syndrome (ACS) patients in Australia and New Zealand: Results from the binational SNAPSHOT ACS 2012 audit},
  abstract = {<p>
AIMS: We aimed to assess differences in patient management, and outcomes, of Australian and New Zealand patients admitted with a suspected or confirmed acute coronary syndrome (ACS). METHODS: We used comprehensive data from the binational Australia and New Zealand ACS 'SNAPSHOT' audit, acquired on individual patients admitted between 00.00 hours on 14 May 2012 to 24.00 hours on 27 May 2012. RESULTS: There were 4387 patient admissions, 3381 (77%) in Australia and 1006 (23%) in New Zealand; Australian patients were slightly younger (67 vs 69 years, p=0.0044). Of the 2356 patients with confirmed ACS, Australian patients were at a lower cardiovascular risk with a lower median GRACE score (147 vs 154 p=0.0008), but as likely to receive an invasive coronary angiogram (58% vs 54%, p=0.082), or revascularisation with PCI (32% vs 31%, p=0.92) or CABG surgery (7.0% vs 5.6%, p=0.32). Of the 1937 NSTEMI/UAP patients, Australian patients had a shorter time to angiography (46 vs 67 hours, p&lt;0.0001). However, at discharge, Australian NSTEMI/UAP survivors were less likely to receive aspirin (84% vs 89%, p=0.0079, a second anti-platelet agent (57% vs 63%, p=0.050) or a beta blocker (67% vs 77%, p=0.0002). In hospital death rates were not different (2.7% vs 3.2%, p=0.55) between Australia and New Zealand. CONCLUSIONS: Overall more similarities were seen, than differences, in the management of suspected or confirmed ACS patients between Australia and New Zealand. However, in several management areas, both countries could improve the service delivery to this high-risk patient group.
</p>
},
  year = {2015},
  journal = {Internal Medicine Journal},
  edition = {2015/03/13},
  isbn = {1445-5994 (Electronic)<br/>1444-0903 (Linking)},
  note = {Ellis, Chris<br/>Hammett, Chris<br/>Ranasinghe, Isuru<br/>French, John<br/>Briffa, Tom<br/>Devlin, Gerard<br/>Elliott, John<br/>Lefkovitz, Jeffrey<br/>Aliprandi-Costa, Bernadette<br/>Astley, Carolyn<br/>Redfern, Julie<br/>Howell, Tegwen<br/>Carr, Bridie<br/>Lintern, Karen<br/>Bloomer, Stephen<br/>Farshid, Ahmad<br/>Matsis, Philip<br/>Hamer, Andrew<br/>Williams, Michael<br/>Troughton, Richard<br/>Horsfall, Matthew<br/>Hyun, Karice<br/>Gamble, Greg<br/>White, Harvey<br/>Brieger, David<br/>Chew, Derek<br/>Bi-National Acute Coronary Syndromes (ACS) 'SNAPSHOT' Audit Group<br/>Intern Med J. 2015 Mar 12. doi: 10.1111/imj.12739.},
  language = {Eng},
}