May 10, 2016European Heart Journal - Quality of Care and Clinical OutcomesOpen Access

Coordinated regional care of myocardial infarction in a rural area in Brazil: Minas Telecardio Project 2

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Why the study?

Does a coordinated regional management protocol improve quality of care and outcomes in patients with STEMI in a rural region?

Population

357 patients with ST-elevation myocardial infarction in a rural and deprived Brazilian region

Comparison

Coordinated regional management protocol… vs Standard care before implementation of the…

Design

Cohort

Follow-up

in-hospital

Authors

BMBárbara Campos Abreu Marino ARAntônio Luiz Pinho Ribeiro MAMaria Beatriz Moreira Alkmim

Discussion

Member takes

Overview

May support regional STEMI protocols in underserved areas; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does a coordinated regional management protocol improve quality of care and outcomes in patients with STEMI in a rural region?

Population

357 patients with ST-elevation myocardial infarction (STEMI) in a rural and deprived Brazilian region (n=214 before, n=143 after implementation)

Intervention

Coordinated regional management protocol including tablet-based digital ECG in emergency ambulances transmitted for analysis, triggering direct transfer for primary PCI or pre-hospital fibrinolysis based on journey time

Comparator

Standard care before implementation of the protocol (historical cohort)

Outcome

Quality of care (medical delay, reperfusion therapy rates, medication use) and in-hospital deathhard clinical

Implementation of a coordinated regional STEMI protocol with pre-hospital ECG transmission significantly improved reperfusion rates and reduced medical delays in a resource-limited rural area.

Cite This Study

Marino et al. (2016) studied this question.

synapsesocial.com/papers/6a7256e6c2d7c3090827365d https://doi.org/10.1093/ehjqcco/qcw020

View Full Paper

Ask AI

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May 10, 2016European Heart Journal - Quality of Care and Clinical OutcomesOpen Access

Coordinated regional care of myocardial infarction in a rural area in Brazil: Minas Telecardio Project 2

View Full Paper

Ask AI

Bookmark

Why the study?

Does a coordinated regional management protocol improve quality of care and outcomes in patients with STEMI in a rural region?

Population

357 patients with ST-elevation myocardial infarction in a rural and deprived Brazilian region

Comparison

Coordinated regional management protocol… vs Standard care before implementation of the…

Design

Cohort

Follow-up

in-hospital

Authors

BMBárbara Campos Abreu Marino ARAntônio Luiz Pinho Ribeiro MAMaria Beatriz Moreira Alkmim

Discussion

Member takes

Overview

May support regional STEMI protocols in underserved areas; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does a coordinated regional management protocol improve quality of care and outcomes in patients with STEMI in a rural region?

Population

357 patients with ST-elevation myocardial infarction (STEMI) in a rural and deprived Brazilian region (n=214 before, n=143 after implementation)

Intervention

Comparator

Standard care before implementation of the protocol (historical cohort)

Outcome

Quality of care (medical delay, reperfusion therapy rates, medication use) and in-hospital deathhard clinical

Implementation of a coordinated regional STEMI protocol with pre-hospital ECG transmission significantly improved reperfusion rates and reduced medical delays in a resource-limited rural area.

Cite This Study

Marino et al. (2016) studied this question.

synapsesocial.com/papers/6a7256e6c2d7c3090827365d https://doi.org/10.1093/ehjqcco/qcw020

View Full Paper

Ask AI

Bookmark