Bypassing the Emergency Department to Improve the Process of Care for ST-Elevation Myocardial Infarction
Key result
The American Heart Association's Mission: Lifeline initiative has established 680 STEMI systems of care in the United States as of June 2013 to improve timely access to primary PCI.
Population
Patients with ST-segment elevation myocardial infarction (STEMI)
Design
Editorial
Authors
Discussion
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Member takes
Implication
The editorial highlights the progress of the AHA's Mission:Lifeline initiative in establishing regional systems of care to improve timely access to primary PCI for STEMI patients.
Key Points
- Review the development and implementation of regional systems of care and emergency department bypass protocols to accelerate reperfusion in ST-elevation myocardial infarction.
- Evaluated historical adherence to guideline reperfusion benchmarks following the 2006 American Heart Association Consensus Statement.
- Assessed the national implementation and infrastructure growth of the American Heart Association Mission: Lifeline initiative.
- Historical data demonstrated that <40% of patients receiving primary percutaneous coronary intervention in the United States were treated within the target 90 minutes of hospital arrival.
- Coordinated stakeholder initiatives successfully established 680 integrated systems of care across the United States as of June 2013 to optimize rapid coronary reperfusion pathways.
Structured PICO
P
Population
Patients with ST-segment elevation myocardial infarction (STEMI)
I
Intervention
Mission:Lifeline initiative / STEMI systems of care (bypassing the emergency department)
The editorial highlights the progress of the AHA's Mission:Lifeline initiative in establishing regional systems of care to improve timely access to primary PCI for STEMI patients.
Cite This Study
Elliott Marshall Antman (2013) conducted an editorial in ST-segment elevation myocardial infarction (STEMI). Mission: Lifeline (STEMI systems of care) was evaluated. The American Heart Association's Mission: Lifeline initiative has established 680 STEMI systems of care in the United States as of June 2013 to improve timely access to primary PCI.