title: A STEMI code protocol improves door-to-balloon time on weekdays and weekends.
abstract: Primary percutaneous coronary intervention (PCI) has emerged as the standard of care for the management of ST-elevation myocardial infarctions (STEMI). Only 32% of patients with STEMI receive this procedure within the recommended 90 min for door-to-balloon time (DTB). We reviewed all STEMI cases that presented to our institution before and after the implementation of a STEMI Code protocol. Before the STEMI Code protocol, 27.1% of weekday cases and 6.3% of weekend cases were performed within 90 min. After the STEMI Code protocol, there was a threefold increase in the number of patients who received PCI within 90 min (p<.0001). A STEMI Code protocol dramatically improves DTB and equalizes disparities between weekday and weekend care.
authors: Department of Medicine, Staten Island University Hospital, Staten Island, NY, USA.
authors: Nidal
authors: N
authors: Abi Rafeh
authors: Dina
authors: D
authors: Abi-Fadel
authors: Robert V
authors: RV
authors: Wetz
authors: Georges
authors: G
authors: Khoueiry
authors: Basem
authors: B
authors: Azab
authors: Adam
authors: A
authors: Edwards
authors: Brahim
authors: B
authors: Ardolic
authors: Suzanne
authors: S
authors: El-Sayegh
authors: Duccio
authors: D
authors: Baldari
authors: James V
authors: JV
authors: Malpeso
authors: Thomas
authors: T
authors: Costantino
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data; D002985:Clinical Protocols; D017598:Efficiency, Organizational; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D012189:Retrospective Studies; D013997:Time Factors