Temporal trends of system of care for STEMI: insights from the Jakarta Cardiovascular Care Unit Network System.

ABSTRACT:

Aim

Guideline implementation programs are of paramount importance in optimizing acute ST-elevation myocardial infarction (STEMI) care. Assessment of performance indicators from a local STEMI network will provide knowledge of how to improve the system of care.

Methods and results

Between 2008-2011, 1505 STEMI patients were enrolled. We compared the performance indicators before (n = 869) and after implementation (n = 636) of a local STEMI network. In 2011 (after introduction of STEMI networking) compared to 2008-2010, there were more inter-hospital referrals for STEMI patients (61% vs 56%, p<0.001), more primary percutaneous coronary intervention (PCI) procedures (83% vs 73%, p = 0.005), and more patients reaching door-to-needle time ≤ 30 minutes (84.5% vs 80.2%, p<0.001). Ho

SUBMITTER: Dharma S 

PROVIDER: S-EPMC3919720 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature