Key result
Acute MI care falls short of guideline targets with a mean door-to-device time of ~180 minutes.
Why the study?
Implementation of acute myocardial infarction management guidelines is key to preventing complications and improving outcomes, but their adherence and performance indicators need evaluation.
Cross-Sectional (n=153)
No
Answers are grounded in this paper and cite their sources.
Introduction: Acute myocardial infarction is one of the most common and major health problems in most societies. Implementation of acute myocardial infarction management guidelines will play a key role in preventing high-risk complications and improving treatment outcomes. The purpose of this study was to evaluate the indicators of acute myocardial infarction management guidelines` indicators (Stent save a life, code 247) in patients referred to the cardiac ward of Vali Asr Hospital in southwest Iran in 2019. Methods: This study was a cross-sectional study in which the indicators of acute myocardial infarction management guidelines (code 247) were studied for 15 months from April 2018 until the end of June 2019. Sampling was done by census. Accordingly, 153 patients were studied. A checklist consisting of demographic data and information related to the implementation of the MI management guidelines was used to collect the data. Data were analyzed by SPSS, version 23, software and descriptive statistics. Results: 77.1% (118) of patients were male and 22.9% (35) were female. Mean and standard deviation of age of patients were 60.58 ± 12.43. Regarding the timing indices for receiving services, the results of the study showed that the Door to Code TIME (time duration of patient admission to the hospital to activation of the code 247) was 12.36 ± 6.25 in this study, which should be less than 10 minutes. Also, the duration of the Door to Device Time (time duration between arrival of the patient with acute myocardial infarction to performing the angioplasty) was 180 minutes in the present study, which should be less than 90 minutes. Conclusion: The guidelines for the management of myocardial infarction (247) were not ideal in some of the indicators in the studied unite that the effective barriers and challenges needed to be studied and improved. It is also recommended that these protocols be continuously evaluated to provide better efficacy
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Khaleghi et al. (2020) conducted a cross-sectional in acute myocardial infarction (n=153). Acute myocardial infarction management guidelines (code 247) was evaluated on Door to Code TIME and Door to Device Time. Evaluation of acute myocardial infarction management guidelines in 153 patients revealed a mean door-to-code time of 12.36 minutes and door-to-device time of 180 minutes, exceeding target times.
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