Observational studyBMC cardiovascular disorders2026
Real-world management and outcomes of myocardial infarction in a transitional country: insights from an 11-year observational study of 13,099 patients.
Observational study in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimAcute myocardial infarction (AMI) remains a leading cause of death globally, despite substantial advances in prevention, diagnosis and reperfusion therapy. In transitional health systems, in-hospital mortality is higher due to limited reperfusion capacity and infrastructure limitations. Kosovo introduced primary percutaneous coronary intervention (PPCI) in 2014, achieving nationwide 24/7 coverage in 2018. We evaluated 11-year trends in AMI management in Kosovo and identified independent predictors of in-hospital mortality.
methodsWe analyzed 13,099 consecutive patients hospitalized with AMI between 2014 and 2024 at Kosovo's main tertiary cardiology center. Patients were classified as ST-elevation MI (STEMI) or non-ST-elevation MI (NSTEMI). Multivariable logistic regression was used to identify independent predictors of in-hospital mortality.
resultsPatient's mean age was 63.8 ± 11.5 years, and 29% were women. STEMI accounted for 55% of cases. Overall in-hospital mortality was 9.0%, declining from 19.3% in 2014 to 7.7% in 2024. Mortality was higher in STEMI than NSTEMI (12% vs. 6%, p < 0.001). In multivariable analysis, cardiogenic shock, advanced age, female sex, reduced left ventricular ejection fraction, admission hyperglycaemia, and absence of PPCI were independently associated with higher mortality.
conclusionsIn-hospital AMI mortality in Kosovo declined substantially over 11 years, coinciding with the expansion of 24/7 PPCI. STEMI remained the highest-risk presentation, and cardiogenic shock was the dominant predictor of death. These findings highlight the critical importance of timely reperfusion and system-level strengthening of acute cardiac care in transitional healthcare settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.