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All Journal journal of internal medicine Microbiology Indonesia Jurnal NERS Indonesian Journal of Tropical and Infectious Disease Indonesian Journal of Chemistry Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) ANIMA Indonesian Psychological Journal Heart Science Journal Indian Journal of Forensic Medicine & Toxicology Narra J Jurnal Natural Folia Medica Indonesiana
Nasronudin Nasronudin
Faculty Of Medicine, Universitas Airlangga, Surabaya. Indonesian-Japan Collaborative Research Center For Emerging And Re-emerging Infectious Diseases, Institute Of Tropical Disease, Universitas Airlangga, Surabaya.
Agriculture, Biological Sciences & Forestry Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Earth & Planetary Sciences Energy Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Journal : Heart Science Journal

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Integrating acute coronary syndrome services through the PSC 119 platform: The LASKAR model for emergency cardiac care in Indonesia Supriyanto; Nasronudin; Stefanus Supriyanto
Heart Science Journal Vol. 7 No. 1 (2026): Accelerating Clinical Breakthroughs: The Journey from Molecular Discovery to Pa
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.01.18

Abstract

Background: The management of acute coronary syndrome (ACS) has been challenged by high rates of morbidity and mortality, prolonged reperfusion times, and a significant number of cases arriving at the hospital already deceased, particularly in Tulungagung, Indonesia. In response to this issue, Rumah Sakir Umum Daerah (RSUD) Dr. Iskak, in collaboration with the local government, established the Layanan Sindroma Koronaria Akut Terintegrasi (LASKAR) in 2016. Objective: This study aimed to evaluate the implementation and outcomes of LASKAR for emergency cardiac management and its impact on the ACS burden in low-resource settings. Methods: A comparative before-and-after design was utilized in this study. Data were collected from hospital reports, 119 logs from the Public Safety Center (PSC), and ACS registries between 2016 and 2019. The data were analyzed using a Chi-square test in JASP to assess the relationship between changes in ACS-related outcomes and the implementation of LASKAR. Result: The results demonstrated significant improvements in the management of ACS. Clinical outcomes improved concurrently, with the rate of Primary Percutaneous Coronary Intervention (PCI) more than doubling, increasing from 14.9% to 37.8% (p<0.001), while in-hospital mortality significantly decreased from 11.8% to 6.1% (p=0.007). Conclusion: Incorporating a locally developed LASKAR model into a national emergency medical platform transforms emergency cardiac care into a sustainable and effective management solution. This innovative approach not only strengthens health system responsiveness to ACS but also serves as a powerful, replicable blueprint for other low- and middle-income countries striving to elevate their healthcare capabilities.
Co-Authors . PURWATI Achmad Ardianto, Achmad Adiana Mutamsari Witaningrum Adiana Mutamsari, Adiana Agung Prasetiyo Aksono HP., Eduardus Bimo Aldise Mareta Nastri, Aldise Mareta Arfianti Arfianti Arfianto V Arief Suseno, Arief Artaria Tjempakasari, Artaria Asmarawati, Tri Pudy Atika Atika Badi'ah, Hanim Istatik Bambang Prajogo Bimo Aksono Bimo Dwi Lukito, Bimo Dwi Bramanton Bramantono Bramantono, Bramantono Budi Utomo Danny Irawan Djojosugito, Fauzia A. Dwi Wahyu Indriati, Dwi Wahyu Eddy Bagus Wasito Eddy Wasito, Eddy Edith Frederika, Edith Endah Dewati, Endah Endang Retnowati ENDANG RETNOWATI KUSUMOWIDAGDO Endra Gunawan Fedik Abdul Rantam Ferdiansyah Ferdiansyah Ferry Effendi Ganden Supriyanto Hadi U Hamidah - Hening Laswati Putra Indrati, Agnes R. Irine Normalina, Irine Irma Yuliawati, Irma Johana E. Prawitasari Juniastuti Juniastuti Khairunisa, Siti Khairunisa, Siti Q. Lilis Mundri Jannah, Lilis Mundri M. Qushay, M. Maria Inge Lusida Masanori Kameoka, Masanori Maskoep, Wiwiek Indriyani Mei Wulan, Sri Mardjiati Meilani Meilani, Meilani Muhammad Qushai Y. Matondang, Muhammad Qushai Y. Muhammad Qushai Yunifiar M, Muhammad Qushai Muhammad Vitanata Arfijanto, Muhammad Vitanata Musofa Rusli Ni Kadek Mulyantari Ni Nyoman Tri Puspaningsih Nur Syamsiatul Fajar, Nur Syamsiatul Nurlaila Effendy Nuzul Qur'aniati Prihartini Widiyanti Purwaningsih - Purwati - Purwati Purwati Rachman, Brian E. Rachman, Brian Eka Rahayu Anggraini Rahmat Zainuddin, Rahmat Retno Indrawati Roestamadji Retno Pudji Rahayu Ririek Parwitasari, Ririek Rudi Wisaksana Rury Mega, Rury Shuhei Ueda, Shuhei Siregar, Fajri M. Siti Qamariyah Khairunisa, Siti Qamariyah Siti Qomariyah Khairunisa, Siti Qomariyah SOETJIPTO . Soewandojo E Stefanus Supriyanto Suharto - Supriyanto Suryono Suryono Thomas Dicky Hastjarjo, Thomas Dicky Tigor Yeheskiel, Tigor Tjahjono, Ganis Tomohiro Kotaki, Tomohiro Triyono EA Ulfa Kholili Usman Hadi Yayuk Susilawati, Yayuk Yulia Ismail Yulia Sari Ismail