Key result
Prehospital cath lab activation linked to ~10 minutes shorter FMC-to-device times.
Why the study?
The impact of implementing key rapid care processes on reperfusion times across multiple STEMI networks was not well characterized.
Does the implementation of rapid care processes reduce first medical contact-to-device times in STEMI patients?
Population
23,498 STEMI patients across 167 hospitals in 16 US metropolitan regions
Comparison
Hospitals implementing care processes vs preexisting vs never implemented
Design
Observational survey merged with patient-level clinical data
Follow-up
March 2012 to July 2014
Authors
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May guide STEMI system process selection; hypothesis-generating for broader adoption without randomized confirmation.
Observational (n=23,498)
Yes
Does the implementation of rapid care processes reduce first medical contact-to-device times in STEMI patients?
Absolute Event Rate: 88% vs 98%
p-value: p=<0.001
Implementation of regional STEMI network care processes, such as prehospital cath lab activation and ED bypass, significantly reduces first medical contact-to-device times.
Fordyce et al. (2017) conducted an observational in ST-segment-elevation myocardial infarction (n=23,498). Implementation of key care processes (e.g., prehospital catheterization laboratory activation) vs. Nonimplementers or preexisting implementation was evaluated on Median first medical contact-to-device time (p=<0.001). Implementing prehospital catheterization laboratory activation was associated with shorter median first medical contact-to-device times compared to nonimplementers (88 vs 98 minutes; P<0.001).
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