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. 2023 May;27(5):258-265.
doi: 10.14744/AnatolJCardiol.2022.2824.

Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey

Affiliations

Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey

Fatih Kahraman et al. Anatol J Cardiol. 2023 May.

Abstract

Background: Coronary care units are sophisticated clinics established to reduce deaths due to acute cardiovascular events. Current data on coronary care unit mortality rates and predictors of mortality in Turkey are very limited. The MORtality predictors in CORonary care units in TURKey (MORCOR-TURK) trial was designed to provide information on the mortality rates and predictors in patients followed in coronary care units in Turkey.

Methods: The MORCOR-TURK trial will be a national, observational, multicenter, and noninterventional study conducted in Turkey. The study population will include coronary care unit patients from 50 centers selected from all regions in Turkey. All consecutive patients admitted to coronary care units with cardiovascular diagnoses between 1 and 30 September 2022 will be prospectively enrolled. All data will be collected at one point in time, and the current clinical practice will be evaluated (ClinicalTrials.gov number NCT05296694). In the first step of the study, admission diagnoses, demographic characteristics, basic clinical and laboratory data, and in-hospital management will be assessed. At the end of the first step, the predictors and rates of in-hospital mortality will be documented. The second step will be in cohort design, and discharged patients will be followed up till 1 year. Predictors of short- and long-term mortality will be assessed. Moreover, a new coronary care unit mortality score will be generated with data acquired from this cohort.

Results: The short-term outcomes of the study are planned to be shared by early 2023.

Conclusion: The MORCOR-TURK trial will be the largest and most comprehensive study in Turkey evaluating the rates and predictors of in-hospital mortality of patients admitted to coronary care units.

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Figures

Figure 1.
Figure 1.
Geographic distribution of the MORCOR-TURK study centers in Turkey. MORCOR-TURK, MORtality predictors in CORonary care units in TURKey.
Figure 2.
Figure 2.
Flow diagram illustrating patients meeting entry criteria.
Figure 3.
Figure 3.
Timeline of the MORCOR-TURK study. MORCOR-TURK, MORtality predictors in CORonary care units in TURKey.
Supplementary Figure 1.
Supplementary Figure 1.
Clinical and technological change of the coronary care unit.

References

    1. Killip T, Kimball JT, York N. Treatment of myocardial infarction in a Coronary Care Unit A two year experience with 250 patients*. Am J Cardiol. 1967;20(4):457 464. (10.1016/0002-9149(67)90023-9) - DOI - PubMed
    1. Rotstein Z, Mandelzweig L, Lavi B, Eldar M, Gottlieb S, Hod H. Does the coronary care unit improve prognosis of patients with acute myocardial infarction? A thrombolytic era study. Eur Heart J. 1999;20(11):813 818. (10.1053/euhj.1998.1452) - DOI - PubMed
    1. Teskey RJ, Calvin JE, McPhail I. Disease severity in the coronary care unit. Chest. 1991;100(6):1637 1642. (10.1378/chest.100.6.1637) - DOI - PubMed
    1. Katz JN, Shah BR, Volz EM, et al. Evolution of the coronary care unit: clinical characteristics and temporal trends in healthcare delivery and outcomes. Crit Care Med. 2010;38(2):375 381. (10.1097/CCM.0b013e3181cb0a63) - DOI - PubMed
    1. Doğan S, Dursun H, Can H, Ellidokuz H, Kaya D. Long-term assessment of coronary care unit patient profile and outcomes: analyses of the 12-years patient records. Turk J Med Sci. 2016;46(3):801 806. (10.3906/sag-1502-88) - DOI - PubMed

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