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Experience from a regional percutaneous coronary intervention center: Aiming to assess and improve quality of care.

Authors :
Dias Claúdio F
Carias M
Almeida A
Paralta M
Viana R
Serrano M
Russo C
Sá Mendes G
Rocha R
Brás D
Neves D
Bento Â
Fernandes R
Trinca M
Patrício L
Source :
Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology [Rev Port Cardiol] 2024 Oct; Vol. 43 (10), pp. 563-569. Date of Electronic Publication: 2024 Apr 24.
Publication Year :
2024

Abstract

Introduction and Objectives: Ischemic heart disease is the single most common cause of death in Europe. Mortality in patients presenting with ST-elevation myocardial infarction (STEMI) is associated with many factors, one of which is the time delay to treatment. The purpose of this work is to analyze the coronary pathway in our region in terms of timing, taking into consideration the place of first medical contact (FMC).<br />Methods: Consecutive patients admitted to our center with STEMI to undergo percutaneous coronary intervention (PCI) between 2013 and 2022 were analyzed. Age, gender, and time delays were collected. Analysis was performed with IBM SPSS version 28 for a significance level of 0.05.<br />Results: We found that non-PCI centers had a significantly greater FMC to diagnosis delay and diagnosis to wire delay compared to other places of origin. Only 2.2% of patients met the 10-min FMC to diagnosis target; 44.8% met the target of 90 min from diagnosis to wire in transferred patients, while 40.6% met the 60-min target for patients admitted to a PCI center. Median patient, electrocardiogram (ECG) and logistic delays are 92.0±146.0 min, 19.0±146.0 min and 15.5±46.3 min, respectively.<br />Conclusion: A significant difference between state-of-the-art targets and reality was found, depending on the place of FMC, with the worst delays in non-PCI centers. Patient delay, ECG delay, FMC to diagnosis and logistic delay are identified as key areas in which to intervene.<br /> (Copyright © 2024 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)

Details

Language :
English; Portuguese
ISSN :
2174-2030
Volume :
43
Issue :
10
Database :
MEDLINE
Journal :
Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology
Publication Type :
Academic Journal
Accession number :
38663530
Full Text :
https://doi.org/10.1016/j.repc.2024.02.007