Why the study?
Appropriate and timely management of STEMI is a major challenge in developing countries due to inadequate infrastructure and trained manpower.
Observational (n=2,420)
Yes
The TN-STEMI Program provides a model for implementing STEMI systems of care in low- and middle-income countries.
Answers are grounded in this paper and cite their sources.
May support STEMI networks in LMICs; leaves open causal mortality benefit pending randomized confirmation.
Appropriate and timely management of ST-elevation myocardial infarction is a major challenge in developing countries due to inadequate infrastructure and trained manpower. The TN-STEMI Program was a successful STEMI system of care that was run in the South Indian state of Tamil Nadu. Lessons learnt from this programme could help to understand the challenges and provide solutions to running similar programmes in low- and middle-income countries.
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A 2021 study conducted an observational in ST-elevation myocardial infarction (n=2,420). TN-STEMI Program (hub-and-spoke system of care) vs. Pre-implementation phase was evaluated on Overall reperfusion use (p=0.21).
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