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AuthorAl Faraidy, Khalid A
AuthorThalib, Lukman
AuthorAl Shammeri, Owayed
AuthorBokhari, Fayez
AuthorHersi, Ahmad
AuthorAlfaleh, Hussam
AuthorKashour, Tarek
Available date2019-01-14T08:44:45Z
Publication Date2019-01-01
Publication NameAngiologyen_US
Identifierhttp://dx.doi.org/10.1177/0003319718822630
CitationAl Faraidy, K. A., Thalib, L., Shammeri, O. A., Bokhari, F., Hersi, A., Alfaleh, H., & Kashour, T. (2019). A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study. Angiology. https://doi.org/10.1177/0003319718822630
ISSN0003-3197
URIhttp://hdl.handle.net/10576/11251
AbstractHajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality. A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team, introducing 24/7 catheterization service, cardiac coordination, standardized cardiac care pathways, and establishment of an effective transportation system. Cardiac mortality accounted for about 52% of all in-hospital deaths before intervention in 2009. This decreased significantly to 43.3%, 32.5%, and 19.7% in 2009, 2010, and 2011, respectively. In-hospital mortality of acute coronary syndromes was 4.7%, 4.6%, and 3.0%, in the years 2009, 2010, and 2011, respectively. Mortality due to other causes remained largely unaffected. There was no significant change in the national mortality due to cardiac causes over the same period provided a reassurance that the observed improvement in in-hospital acute coronary syndrome mortality was not due to overall improvement in health care. The numbers of cardiac catheterization procedures increased 3-fold and cardiac surgical procedures increased 5-fold between 2009 and 2011. In this study, we found that an evidence-based intensive bundle care intervention substantially reduced the cardiac mortality among the pilgrims assembling for Hajj in Makkah.
Languageen
PublisherSAGE Publications
SubjectACS
SubjectHajj
SubjectMakkah
Subjectcardiovascular
Subjectmortality
TitleA Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study.
TypeArticle
ESSN1940-1574


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