Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul 11;14(14):1486.
doi: 10.3390/diagnostics14141486.

The Rationale and Design of the KOSovan Acute Coronary Syndrome (KOS-ACS) Registry

Gani Bajraktari  1   2   3 , Shpend Elezi  1   2 , Ibadete Bytyci  1   2   3 , Pranvera Ibrahimi  1   3 , Genc Abdyli  1 , Edita Pllana-Pruthi  1 , Rona Karahoda  4 , Arlind Batalli  1   2 , Afrim Poniku  1   2 , Mentor Shatri  1 , Drilon Gashi  1 , Artan Bajraktari  1 , Faik Shatri  1 , Michael Y Henein  3 ; KOS-ACS Investigators
Affiliations

The Rationale and Design of the KOSovan Acute Coronary Syndrome (KOS-ACS) Registry

Gani Bajraktari et al. Diagnostics (Basel). .

Abstract

The KOSovan Acute Coronary Syndrome (KOS-ACS) Registry is established as a prospective, continuous, nationwide, web-based registry that is operated online. The KOS-ACS registry is designed with the following objectives: (1) to obtain data on the demographic, clinical, and laboratory characteristics of ACS patients treated in Kosovo; (2) to create a national database with information on health care in ACS patients treated in Kosovo; (3) to identify the national features of associations between ACS characteristics and clinical outcomes, including mortality, complications, the length of hospital stay, and the quality of clinical care; and (4) to propose a practical guide for improving the quality and efficiency of ACS treatment in Kosovo. The Kosovo Society of Cardiology and University of Prishtina will be responsible for the development of the KOS-ACS registry and centralized data analysis at the national level. The KOS-ACS Registry will enroll all patients admitted, at any of the registered clinical centers, with the diagnosis of ACS and who will be clinically managed at any of the Kosovo hospitals. Data on patient demographics, clinical characteristics, previous and hospital drug treatment, and reperfusion therapy will be collected. The type of ACS (unstable angina, NSTEMI, or STEMI) will also be clearly defined. The time from first medical contact to balloon inflation (FMC-to-balloon) and door-to-ballon time will be registered. In-hospital death and complications will be registered. Data on the post-hospital primary outcome (MACE: cardiac death, all-cause mortality, hospitalization, stroke, need for coronary revascularization) of patients, at 30 days and 1 year, will be included in the registry.

Keywords: Kosovo; acute coronary syndrome; in-hospital mortality; outcomes; registry.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Objective, inclusion and exclusion criteria of the study patients.
Figure 2
Figure 2
The development plan of the registry.
Figure 3
Figure 3
The follow-up plan of the registry.
See this image and copyright information in PMC

References

    1. Chew D.P., Hyun K., Morton E., Horsfall M., Hillis G.S., Chow C.K., Quinn S., D’Souza M., Yan A.T., Gale C.P., et al. Objective Risk Assessment vs Standard Care for Acute Coronary Syndromes: A Randomized Clinical Trial. JAMA Cardiol. 2021;6:304–313. doi: 10.1001/jamacardio.2020.6314. - DOI - PMC - PubMed
    1. Martin C., Jones D., Wolfe R. State-wide reduction in in-hospital cardiac complications in association with the introduction of a national standard for recognizing deteriorating patients. Resuscitation. 2017;121:172–178. doi: 10.1016/j.resuscitation.2017.08.240. - DOI - PubMed
    1. Bonello L., Laine M., Puymirat E., Lemesle G., Thuny F., Paganelli F., Michelet P., Roch A., Kerbaul F., Boyer L. Timing of Coronary Invasive Strategy in Non-ST-Segment Elevation Acute Coronary Syndromes and Clinical Outcomes: An Updated Meta-Analysis. JACC Cardiovasc. Interv. 2016;9:2267–2276. doi: 10.1016/j.jcin.2016.09.017. - DOI - PubMed
    1. Kheifets M., Vaknin-Assa H., Greenberg G., Orvin K., Assali A., Kornowski R., Perl L. Trends in ST-elevation myocardial infarction. Coron. Artery Dis. 2022;31:e026811. doi: 10.1097/MCA.0000000000001058. - DOI - PubMed
    1. Fox K.A., Eagle K.A., Gore J.M., Steg P.G., Anderson F.A., GRACE and GRACE2 Investigators The Global Registry of Acute Coronary Events, 1999 to 2009—GRACE. Heart. 2010;96:1095–1101. doi: 10.1136/hrt.2009.190827. - DOI - PubMed

LinkOut - more resources