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The Difficult Evolution of Intensive Cardiac Care Units: An Overview of the BLITZ-3 Registry and Other Italian Surveys
Joint Authors
Casella, Gianni
Zagnoni, Silvia
Fradella, Giuseppe
Scorcu, Giampaolo
Chinaglia, Alessandra
Pavesi, Pier Camillo
Di Pasquale, Giuseppe
Oltrona Visconti, Luigi
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-20
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Coronary care units, initially developed to treat acute myocardial infarction, have moved to the care of a broader population of acute cardiac patients and are currently defined as Intensive Cardiac Care Units (ICCUs).
However, very limited data are available on such evolution.
Since 2008, in Italy, several surveys have been designed to assess ICCUs’ activities.
The largest and most comprehensive of these, the BLITZ-3 Registry, observed that patients admitted are mainly elderly males and suffer from several comorbidities.
Direct admission to ICCUs through the Emergency Medical System was rather rare.
Acute coronary syndromes (ACS) account for more than half of the discharge diagnoses.
However, numbers of acute heart failure (AHF) admissions are substantial.
Interestingly, age, resources availability, and networking have a strong influence on ICCUs’ epidemiology and activities.
In fact, while patients with ACS concentrate in ICCUs with interventional capabilities, older patients with AHF or non-ACS, non-AHF cardiac diseases prevail in peripheral ICCUs.
In conclusion, although ACS is still the core business of ICCUs, aging, comorbidities, increasing numbers of non-ACS, technological improvements, and resources availability have had substantial effects on epidemiology and activities of ICCUs.
The Italian surveys confirm these changes and call for a substantial update of ICCUs’ organization and competences.
American Psychological Association (APA)
Casella, Gianni& Zagnoni, Silvia& Fradella, Giuseppe& Scorcu, Giampaolo& Chinaglia, Alessandra& Pavesi, Pier Camillo…[et al.]. 2017. The Difficult Evolution of Intensive Cardiac Care Units: An Overview of the BLITZ-3 Registry and Other Italian Surveys. BioMed Research International،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1137900
Modern Language Association (MLA)
Casella, Gianni…[et al.]. The Difficult Evolution of Intensive Cardiac Care Units: An Overview of the BLITZ-3 Registry and Other Italian Surveys. BioMed Research International No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1137900
American Medical Association (AMA)
Casella, Gianni& Zagnoni, Silvia& Fradella, Giuseppe& Scorcu, Giampaolo& Chinaglia, Alessandra& Pavesi, Pier Camillo…[et al.]. The Difficult Evolution of Intensive Cardiac Care Units: An Overview of the BLITZ-3 Registry and Other Italian Surveys. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1137900
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137900