Statewide coordinated STEMI approach deemed successful

June 5, 2012
Statewide coordinated STEMI approach deemed successful
A statewide coordinated effort across hospitals and emergency medical service providers to transport patients with ST-segment elevation myocardial infarction to hospitals providing percutaneous coronary intervention has resulted in improved outcomes, according to a study published online June 4 in Circulation.

(HealthDay) -- A statewide coordinated effort across hospitals and emergency medical service (EMS) providers to transport patients with ST-segment elevation myocardial infarction (STEMI) to hospitals providing percutaneous coronary intervention (PCI) has resulted in improved outcomes, according to a study published online June 4 in Circulation.

James G. Jollis, M.D., from Duke University in Durham, N.C., and colleagues analyzed performance data from the 119 North Carolina hospitals participating in a coordinated plan to treat STEMI patients according to presentation.

The researchers found that, between July 2008 and December 2009, 6,841 patients with STEMI were treated (median age, 59 years; 30 percent women). Of the treated patients, 3,907 presented directly to 21 PCI hospitals and 2,933 were transferred from a total of 98 non-PCI hospitals. Over the period analyzed, the rate of patients not receiving reperfusion decreased significantly from 5.4 to 4.0 percent. Treatment times improved substantially for patients requiring hospital transfer. For patients presenting directly to PCI hospitals, the median door-to-device times declined significantly, from 64 to 59 minutes, with EMS-transported patients the most likely to reach door-to-device treatment goals within 90 minutes (91 percent). Mortality was significantly lower for patients treated within guideline goals (2.2 percent, versus 5.7 percent for those exceeding ).

"By extending regional coordination to an entire state, rapid diagnosis and treatment of STEMI has become an established standard of care independent of health care setting or geographic location," the authors write.

Several authors disclosed to medical device and pharmaceutical companies, including Phillips, Sanofi-Aventis, and the Medtronic Foundation, all of which funded the study.

Explore further: Heart attack patients taken to PCI hospitals first treated faster

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Heart attack patients taken to PCI hospitals first treated faster

May 10, 2012
Heart attack patients in North Carolina who were rushed directly to hospitals equipped to do percutaneous coronary intervention (PCI) received treatment significantly faster than patients first taken to hospitals unequipped ...

Most heart-attack patients needing procedure at another hospital not transferred in recommended time

June 21, 2011
Only about 10 percent of patients with a certain type of heart attack who need to be transferred to another hospital for a PCI (procedures such as balloon angioplasty or stent placement used to open narrowed coronary arteries) ...

Largest statewide coordinated care effort improves survival, reduces time to heart attack treatment

June 4, 2012
An ambitious effort to coordinate heart attack care among every hospital and emergency service in North Carolina improved patient survival rates and reduced the time from diagnosis to treatment, according to Duke University ...

Coordinated system helps heart attack patients get treatment faster

June 28, 2011
Coordinating care among emergency medical services (EMS) and hospital systems significantly reduced the time to transfer heart attack patients to hospitals providing emergency coronary angioplasty, according to research reported ...

Systems treating severe heart attacks expanding nationwide

May 22, 2012
The number of systems of care that quickly transfer and treat heart attack patients has increased substantially across the nation, according to research published in Circulation: Cardiovascular Quality and Outcomes, an American ...

Recommended for you

Eating yogurt may reduce cardiovascular disease risk

February 15, 2018
A new study in the American Journal of Hypertension, published by Oxford University Press, suggests that higher yogurt intake is associated with lower cardiovascular disease risk among hypertensive men and women.

Newly discovered gene may protect against heart disease

February 14, 2018
Scientists have identified a gene that may play a protective role in preventing heart disease. Their research revealed that the gene, called MeXis, acts within key cells inside clogged arteries to help remove excess cholesterol ...

Blood thinners may raise stroke risk in over-65s with kidney disease

February 14, 2018
People over 65 years old may be increasing their stroke risk by taking anticoagulants for an irregular heartbeat if they also have chronic kidney disease, finds a new study led by UCL, St George's, University of London and ...

Cardiac macrophages found to contribute to a currently untreatable type of heart failure

February 14, 2018
A team of Massachusetts General Hospital (MGH) investigators has discovered, for the first time, that the immune cells called macrophages contribute to a type of heart failure for which there currently is no effective treatment. ...

Study maps molecular mechanisms crucial for new approach to heart disease therapy

February 13, 2018
Creating new healthy heart muscle cells within a patient's own ailing heart. This is how scientists hope to reverse heart disease one day. Today, a new study led by UNC-Chapel Hill researchers reveals key molecular details ...

Quality toolkit improves care in Indian hospitals

February 13, 2018
A simple toolkit of checklists, education materials and quality and performance reporting improved the quality of care but not outcomes in hospitals in the south Indian state of Kerala and may have the potential to improve ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.