Implementation of STEMI Systems of Care in Egypt reduced in-hospital mortality from 6.4% to 2.8%, decreased door-to-balloon time from 54.3 to 44.1 minutes, and increased primary PCI rate from 59.8% to 77.1%.
What are the barriers and facilitators to implementing STEMI systems of care in Africa?
The coordination and introduction of STEMI systems of care in Africa holds great potential advantages despite existing barriers.
Effect estimate: ARR 3.6%
Absolute Event Rate: 2.8% vs 6.4%
A myriad of barriers, as well as potential facilitators in the implementation of these networks, have been reported in this scoping review. The coordination and introduction of a STEMI SOC in African settings potentially holds great advantages, as has been witnessed in other low- and middle-income countries (LMICs) and high-income countries (HICs).
Pool et al. (Tue,) conducted a other in ST-elevation myocardial infarction patients in African healthcare systems (n=52). Implementation of STEMI Systems of Care vs. Prior or no STEMI Systems of Care was evaluated on In-hospital mortality and reperfusion treatment rates including door-to-balloon (D2B) and door-to-needle (D2N) times (ARR 3.6%). Implementation of STEMI Systems of Care in Egypt reduced in-hospital mortality from 6.4% to 2.8%, decreased door-to-balloon time from 54.3 to 44.1 minutes, and increased primary PCI rate from 59.8% to 77.1%.