Contemporary evidence: baseline data from the D2B Alliance.

BMC Research Notes
Elizabeth H BradleyHarlan M Krumholz

Abstract

Less than half of U.S. hospitals meet guidelines for prompt treatment of ST-segment elevation myocardial infarction (STEMI). The Door-to-Balloon (D2B) Alliance is a collaborative effort of more than 900 hospitals committed to implementing a set of evidence-based strategies for reducing D2B time. This study presents data on (1) the prevalence of evidence-based strategies in U.S. hospitals that participated in the D2B Alliance and (2) identifies key hospital characteristics associated with their use. We conducted a cross-sectional study of U.S. hospitals that joined the D2B Alliance through a Web-based survey about their current practices for patients with STEMI who received primary percutaneous coronary intervention (PCI). We used multivariate logistic regression to identify hospital characteristics associated with use of each strategy. Of the 915 U.S. hospitals enrolled in the D2B Alliance as of June 2007, 797 (87%) completed the survey. Only 30.4% of responding hospitals reported employing at least 4 of the 5 key strategies (emergency medicine activates catheterization laboratory, single-call activation, expectation that catheterization team is available in the laboratory within 20-30 minutes after page, prompt data feedback o...Continue Reading

References

Aug 21, 2004·Journal of Interventional Cardiology·Stuart W ZarichMichelle Dilella
Mar 25, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ronald P CaputoPaolo Esente
Jul 22, 2005·The New England Journal of Medicine·Scott C WilliamsJerod M Loeb
Jul 22, 2005·The New England Journal of Medicine·Ashish K JhaArnold M Epstein
Oct 4, 2005·Journal of the American College of Cardiology·Elizabeth H BradleyHarlan M Krumholz
Feb 24, 2006·Circulation·Elizabeth H BradleyHarlan M Krumholz
Apr 25, 2006·Journal of the American College of Cardiology·Jeptha P CurtisUNKNOWN National Registry of Myocardial Infarction-4
Jun 28, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Robert SworChristine C McEachin
Nov 15, 2006·The New England Journal of Medicine·Elizabeth H BradleyHarlan M Krumholz
Jul 30, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael G MillinBrian Schwartz

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Citations

Mar 17, 2010·European Heart Journal·Frederick A SpencerUNKNOWN Global Registry of Acute Coronary Events (GRACE) Investigators
Dec 7, 2010·Progress in Cardiovascular Diseases·Nathaniel W NilesUNKNOWN Dartmouth-Hitchcock ST Elevation Myocardial Infarction Process Upgrade Project (STEPUP) Group
Nov 18, 2020·Circulation. Cardiovascular Quality and Outcomes·Harlan M Krumholz

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