Factors affecting STEMI performance in six hospitals within one healthcare system.

Heart & Lung : the Journal of Critical Care
Joanne ThanavaroNorma Metheny

Abstract

How quickly percutaneous coronary intervention is performed in patients with ST-elevation myocardial infarction (STEMI) is a quality measure, reported as door-to-balloon (D2B) time. To explore factors affecting STEMI performance in six hospitals in one healthcare system. This was a retrospective chart review of clinical features and D2B times. Predictors for D2B times were identified using multivariate linear regression. The median D2B time for all six hospitals was 63 minutes and all hospitals surpassed the minimal recommended percentage of patients achieving D2B time ≤90 minutes (87.8%vs75%,p<0.001). Patient confounders adversely affect D2B times (+21.5 minutes, p<0.001). Field ECG/activation with emergency department (ED) transport (-22.0 minutes) or direct cardiac catheterization laboratory (CCL) transport (-27.3 minutes) was superior to ED ECG/activation (p<0.001). Field ECG/STEMI activation significantly shortened D2B time. To improve D2B time, hospital and Emergency Medical Service collaboration should be advocated to increase field activation and direct patient transportation to CCL.

References

Oct 1, 1972·The American Journal of Cardiology·A B SimonH K Thompson
Dec 1, 1996·Annals of Emergency Medicine·L BeckerM S Eisenberg
Jun 28, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael G MillinTom P Aufderheide
Apr 14, 2009·The American Journal of Cardiology·Brahmajee K NallamothuUNKNOWN D2B Alliance and the American Heart Association Get-With-The-Guidelines Investigators
Aug 19, 2010·JAMA : the Journal of the American Medical Association·Christian Juhl TerkelsenJens Flensted Lassen
Aug 24, 2011·Circulation·Harlan M KrumholzJeptha P Curtis
Aug 28, 2012·European Heart Journal·UNKNOWN Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC)Doron Zahger
Jan 14, 2017·Circulation. Cardiovascular Interventions·Christopher B FordyceUNKNOWN STEMI Systems Accelerator Project
Jul 15, 2018·Circulation. Cardiovascular Interventions·Donald E Cutlip, David L Fischman
Jan 1, 2019·Journal of the American Heart Association·Christopher B GrangerAlice K Jacobs
Feb 1, 2019·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee

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