A STEMI code protocol improves door-to-balloon time on weekdays and weekends.
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.
Abi Rafeh
Nidal
N
Department of Medicine, Staten Island University Hospital, Staten Island, NY, USA.
Abi-Fadel
Dina
D
Wetz
Robert V
RV
Khoueiry
Georges
G
Azab
Basem
B
Edwards
Adam
A
Ardolic
Brahim
B
El-Sayegh
Suzanne
S
Baldari
Duccio
D
Malpeso
James V
JV
Costantino
Thomas
T
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