TY - JOUR T1 - Changes in ST segment elevation myocardial infarction hospitalisations in China from 2011 to 2015 JF - Open Heart JO - Open Heart DO - 10.1136/openhrt-2021-001666 VL - 8 IS - 2 SP - e001666 AU - Tianna Zhou AU - Xi Li AU - Yuan Lu AU - Karthik Murugiah AU - Xueke Bai AU - Shuang Hu AU - Yan Gao AU - Frederick A Masoudi AU - Harlan M Krumholz AU - Jing Li A2 - , Y1 - 2021/09/01 UR - http://openheart.bmj.com/content/8/2/e001666.abstract N2 - Objective Access to acute cardiovascular care has improved and health services capacity has increased over the past decades. We assessed national changes in (1) patient characteristics, (2) in-hospital management and (3) patient outcomes among patients presenting with ST segment elevation myocardial infarction (STEMI) in 2011–2015 in China.Methods In a nationally representative sample of hospitals in China, we created two random cohorts of patients in 2011 and 2015 separately. We weighted our findings to estimate nationally representative numbers and assessed changes from 2011 to 2015. Data were abstracted from medical charts centrally using standardised definitions.Results While the proportion of patients with STEMI among all patients with acute myocardial infarction decreased over time from 82.5% (95% CI 81.7 to 83.3) in 2011 to 68.5% (95% CI 67.7 to 69.3) in 2015 (p<0.0001), the weighted national estimate of patients with STEMI increased from 210 000 to 380 000. The rate of reperfusion eligibility among patients with STEMI decreased from 49.3% (95% CI 48.1 to 50.5) to 42.2% (95% CI 41.1 to 43.4) in 2015 (p<0.0001); ineligibility was principally driven by larger proportions with prehospital delay exceeding 12 hours (67.4%–76.7%, p<0.0001). Among eligible patients, the proportion receiving reperfusion therapies increased from 54% (95% CI 52.3 to 55.7) to 59.7% (95% CI 57.9 to 61.4) (p<0.0001). Crude and risk-adjusted rates of in-hospital death did not differ significantly between 2011 and 2015.Conclusions In this most recent nationally representative study of STEMI in China, the use of acute reperfusion increased, but no significant improvement occurred in outcomes. There is a need to continue efforts to prevent cardiovascular diseases, to monitor changes in in-hospital treatments and outcomes, and to reduce prehospital delay.No data are available. The data underlying this article cannot be shared publicly due to the privacy of individuals who participated in the study. ER -