The second survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and temporal changes in care (STARS-2 program)

Ayman AlSaleh, Shukri M AlSaif, Osama Alhadramy, Mohammed Alshehri, Khalid Al Faraidy, Fawaz Almutairi, Abdulhalim J Kinsara, Mushabab Al-Murayeh, Abdullah E Ghabashi, Mirvat Alasnag, Gamal Abdin Hussein, Tamer M Askar, Kamel H Haider, Ibrahim A Alharbi, Abdulaziz Almokhlef, Belal A Sayed, Adel Almasswary, Zia- ul-Sabah, Hameedullah Kazim, Hazem A Albareda, Mubarak A Aldossari, Rasha Albawardi, Rudaynah Alali, Ibrahim A M Abdulhabeeb, Saifeldin Mohamed Ibrahim, Sami Alasmari, Abdulrahman M Almoghairi, Abdullateef Y Khoja, Naveed Hussain, Balarabe S Aminu, Abdulhalim Serafi, Abdalla Osman Eltayeb, Ali Husain BuSaleh, Basel Alsabatien, Mirghani K Hamza, Rasha Alsharkawy, Awatif A Awwad, Maha A Mohamed, Mohammed A Al Habeeb, Syed Shujauddin, Jamila Ado Ya’u, Nashwa M Attia, Naji Kholaif, Nazeeh M Bin Ghouth, MKheir I Youssef, Mohammed A Qutub, Samih R Lawand, Raed Alkutshan, Emadaldein Ahmed, Ayman Basardah, Wasem I Alhaj, Hani Altaradi, Muhammad Ali, Wael Alqarawi, Khalid F Alhabib and on behalf of the STARS-2 Investigators

PLOS ONE, 2025, vol. 20, issue 9, 1-17

Abstract: Background: The Saudi Acute Myocardial Infarction Registry (STARS) program aims to evaluate the clinical characteristics, management, and outcomes of a representative sample of patients with acute myocardial infarction (AMI) in Saudi Arabia. This second phase evaluates temporal changes in patient care, demographics, and the management benchmarks for AMI. Methods and findings: We created a 5-year recurring, multi-center prospective registry that utilizes a snapshot design in 50 hospitals from various healthcare sectors in Saudi Arabia. The study’s recruitment phase spanned from September 3, 2021, to January 6, 2023. During these 16 months, 2,690 patients presenting with acute myocardial infarction (AMI) with or without ST-segment elevation (STEMI or NSTEMI, respectively) were enrolled. The mean age (± SD) of the overall population was 57 (±12.4) years, 70% were Saudi citizens, 82% were men, and (48.8%) of the total patients had STEMI. Fifty-eight percent of patients had diabetes mellitus and 58% had hypertension. Of the total population with STEMI, primary percutaneous coronary intervention (PCI) was performed in 619 patients (47.1%), thrombolytics were given to 584 patients (44.5%), and 110 patients had no reperfusion (8.4%). Among patients who presented within 24 h of symptom onset, the door-to-balloon (DTB) time was 63 min (IQR: 43), with 75.6% achieving DTB

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0331215

DOI: 10.1371/journal.pone.0331215

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