Percutaneous coronary intervention still not accessible for many South Africans

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Stassen , W , Wallis , L , Lambert , C , Castren , M & Kurland , L 2017 , ' Percutaneous coronary intervention still not accessible for many South Africans ' , African journal of emergency medicine , vol. 7 , no. 3 , pp. 105-107 . https://doi.org/10.1016/j.afjem.2017.04.009

Title: Percutaneous coronary intervention still not accessible for many South Africans
Author: Stassen, Willem; Wallis, Lee; Lambert, Craig; Castren, Maaret; Kurland, Lisa
Contributor: University of Helsinki, Department of Diagnostics and Therapeutics
Date: 2017-09
Language: eng
Number of pages: 3
Belongs to series: African journal of emergency medicine
ISSN: 2211-419X
URI: http://hdl.handle.net/10138/298981
Abstract: Introduction: The incidence of myocardial infarction is rising in Sub-Saharan Africa. In order to reduce mortality, timely reperfusion by percutaneous coronary intervention (PCI) or thrombolysis followed by PCI is required. South Africa has historically been characterised by inequities in healthcare access based on geographic and socioeconomic status. We aimed to determine the coverage of PCI-facilities in South Africa and relate this to access based on population and socio-economic status. Methods: This cross-sectional study obtained data from literature, directories, organisational databases and correspondence with Departments of Health and hospital groups. Data was analysed descriptively while Spearman's Rho sought correlations between PCI-facility resources, population, poverty and medical insurance status. Results: South Africa has 62 PCI-facilities. Gauteng has the most PCI-facilities (n = 28) while the Northern Cape has none. Most PCI-facilities (n = 48; 77%) are owned by the private sector. A disparity exists between the number of private and state-owned PCI-facilities when compared to the poverty (r = 0.01; p = 0.17) and insurance status of individuals (r = -0.4; p = 0.27). Conclusion: For many South Africans, access to PCI-facilities and primary PCI is still impossible given their socio-economic status or geographical locale. Research is needed to determine the specific PCI-facility needs based on geographic and epidemiological aspects, and to develop a contextualised solution for South Africans suffering a myocardial infarction. (C) 2017 African Federation for Emergency Medicine. Publishing services provided by Elsevier B.V.
Subject: Myocardial infarction
South Africa
Healthcare access
ELEVATION MYOCARDIAL-INFARCTION
ST-SEGMENT ELEVATION
TO-BALLOON TIME
HEART-DISEASE
CATH LABS
GUIDELINES
MANAGEMENT
MORTALITY
EPIDEMIOLOGY
POPULATION
3126 Surgery, anesthesiology, intensive care, radiology
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