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Quality assessment in Belgian ST elevation myocardial infarction patients
- Source :
- Acta cardiologica
- Publication Year :
- 2018
- Publisher :
- Acta Cardiologica, 2018.
-
Abstract
- The present report describes the quality of care, including in hospital mortality for more than 22.000 STEMI patients admitted in 60 Belgian hospitals for the period 2008-2016. We found a strong increase in the use of primary PCI over time, particularly for patients that were admitted first in a non-PCI capable hospital, reaching a penetration rate of >95%. The transition of thrombolysis to transfer for pPCI in the setting of a STEMI network was, however, associated with an increase of the proportion of patients with prolonged (>120 min) diagnosis-to-balloon time (from 16 to 22%), suggesting still suboptimal interhospital transfer. The in-hospital mortality of the total study population was 6.5%. For non-cardiac arrest patients in-hospital mortality decreased from 5.1% to 3.7%, while it increased for cardiac arrest patients from 29 to 37%. The observation that quality indicators (QI's), such as modalities and timing of reperfusion therapy, were associated with lower levels of mortality, underscores the potential of QIs for STEMI to improve care and reduce unwarranted variation and premature death from STEMI.
- Subjects :
- medicine.medical_specialty
In hospital mortality
Quality assessment
business.industry
General Medicine
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Reperfusion therapy
surgical procedures, operative
St elevation myocardial infarction
Emergency medicine
otorhinolaryngologic diseases
Journal Article
Medicine
030212 general & internal medicine
Human medicine
cardiovascular diseases
Quality of care
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 00015385
- Database :
- OpenAIRE
- Journal :
- Acta cardiologica
- Accession number :
- edsair.doi.dedup.....2073d0eee3800b8b7e75a36f7dcebc62