Sayed Abdulmotaleb Almoosawy, Abdullah Esmaiel, Ibrahim Farrag, Mohammad Al Jarallah, Mohammad Zubaid
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Adult patients (≥18 years) diagnosed with STEMI were enrolled in Kuwait CLAP registry between February 2020 and February 2021. Patients were categorized into insured and noninsured. The coprimary outcomes were the in-hospital and 30-day mortality in insured versus noninsured patients with STEMI. In-hospital and 30-day adverse cardiac outcomes were also compared.</p><p><strong>Results: </strong>Of 668 patients with STEMI, 116 (17%) were insured and 552 (83%) were not insured. Three (2.6%) of the insured and 9 (1.6%) of the noninsured patients suffered in-hospital mortality, while no patients in the insured group and four patients (0.7%) patients in the noninsured group suffered 30-day mortality, with no significant difference between the two groups (<i>P</i> = 0.447 and <i>P</i> = 1, respectively). The rates of in-hospital complications and 30-day adverse events were similar between the two groups.</p><p><strong>Conclusions: </strong>Our findings suggest no differences in acute or short-term outcomes among patients with different insurance status in Kuwait. These findings are reassuring knowing that the free essential services provided by Kuwait government for STEMI patients did not compromise the outcomes of noninsured compared to insured patients.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 2","pages":"57-62"},"PeriodicalIF":0.4000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604206/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of Insurance Status on Clinical Management and Outcomes of Patients with ST-Segment Elevation Myocardial Infarction: Findings from the Kuwait Catheterization Laboratory Project Registry.\",\"authors\":\"Sayed Abdulmotaleb Almoosawy, Abdullah Esmaiel, Ibrahim Farrag, Mohammad Al Jarallah, Mohammad Zubaid\",\"doi\":\"10.4103/heartviews.heartviews_50_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Emerging evidence from various countries suggests that ST-segment elevation myocardial infarction (STEMI) patients with differing health-care insurance types experience discrepancies in clinical management and outcomes. Kuwait government provides free essential treatments and medications to noninsured patients with certain emergency conditions. We aimed to compare differences in clinical management and in-hospital and 30-day outcomes in STEMI patients with different insurance types in Kuwait.</p><p><strong>Methods: </strong>Data were derived from Kuwait Catheterization Laboratory Project (Kuwait CLAP) registry. Adult patients (≥18 years) diagnosed with STEMI were enrolled in Kuwait CLAP registry between February 2020 and February 2021. Patients were categorized into insured and noninsured. The coprimary outcomes were the in-hospital and 30-day mortality in insured versus noninsured patients with STEMI. In-hospital and 30-day adverse cardiac outcomes were also compared.</p><p><strong>Results: </strong>Of 668 patients with STEMI, 116 (17%) were insured and 552 (83%) were not insured. Three (2.6%) of the insured and 9 (1.6%) of the noninsured patients suffered in-hospital mortality, while no patients in the insured group and four patients (0.7%) patients in the noninsured group suffered 30-day mortality, with no significant difference between the two groups (<i>P</i> = 0.447 and <i>P</i> = 1, respectively). The rates of in-hospital complications and 30-day adverse events were similar between the two groups.</p><p><strong>Conclusions: </strong>Our findings suggest no differences in acute or short-term outcomes among patients with different insurance status in Kuwait. These findings are reassuring knowing that the free essential services provided by Kuwait government for STEMI patients did not compromise the outcomes of noninsured compared to insured patients.</p>\",\"PeriodicalId\":32654,\"journal\":{\"name\":\"Heart Views\",\"volume\":\"25 2\",\"pages\":\"57-62\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604206/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Heart Views\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/heartviews.heartviews_50_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Heart Views","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/heartviews.heartviews_50_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/10 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
摘要
背景:来自不同国家的新证据表明,不同医疗保险类型的st段抬高型心肌梗死(STEMI)患者在临床管理和结局方面存在差异。科威特政府向患有某些紧急情况的无保险病人提供免费的基本治疗和药物。我们的目的是比较科威特不同保险类型STEMI患者在临床管理、住院和30天结局方面的差异。方法:数据来源于科威特导管实验室项目(Kuwait CLAP)登记处。诊断为STEMI的成年患者(≥18岁)于2020年2月至2021年2月在科威特淋病登记处登记。患者被分为参保和未参保两类。主要结局是参保与未参保STEMI患者的住院死亡率和30天死亡率。还比较了住院和30天的不良心脏结局。结果:668例STEMI患者中,116例(17%)参保,552例(83%)未参保。参保组30天死亡率为3例(2.6%),未参保组为9例(1.6%),参保组为0例(0.7%),未参保组为4例(0.7%),两组间差异无统计学意义(P = 0.447, P = 1)。两组住院并发症和30天不良事件发生率相似。结论:我们的研究结果表明,在科威特不同保险状况的患者中,急性或短期预后没有差异。这些发现令人放心,因为科威特政府为STEMI患者提供的免费基本服务与参保患者相比,没有损害未参保患者的预后。
Impact of Insurance Status on Clinical Management and Outcomes of Patients with ST-Segment Elevation Myocardial Infarction: Findings from the Kuwait Catheterization Laboratory Project Registry.
Background: Emerging evidence from various countries suggests that ST-segment elevation myocardial infarction (STEMI) patients with differing health-care insurance types experience discrepancies in clinical management and outcomes. Kuwait government provides free essential treatments and medications to noninsured patients with certain emergency conditions. We aimed to compare differences in clinical management and in-hospital and 30-day outcomes in STEMI patients with different insurance types in Kuwait.
Methods: Data were derived from Kuwait Catheterization Laboratory Project (Kuwait CLAP) registry. Adult patients (≥18 years) diagnosed with STEMI were enrolled in Kuwait CLAP registry between February 2020 and February 2021. Patients were categorized into insured and noninsured. The coprimary outcomes were the in-hospital and 30-day mortality in insured versus noninsured patients with STEMI. In-hospital and 30-day adverse cardiac outcomes were also compared.
Results: Of 668 patients with STEMI, 116 (17%) were insured and 552 (83%) were not insured. Three (2.6%) of the insured and 9 (1.6%) of the noninsured patients suffered in-hospital mortality, while no patients in the insured group and four patients (0.7%) patients in the noninsured group suffered 30-day mortality, with no significant difference between the two groups (P = 0.447 and P = 1, respectively). The rates of in-hospital complications and 30-day adverse events were similar between the two groups.
Conclusions: Our findings suggest no differences in acute or short-term outcomes among patients with different insurance status in Kuwait. These findings are reassuring knowing that the free essential services provided by Kuwait government for STEMI patients did not compromise the outcomes of noninsured compared to insured patients.