Stent for Life in France.
France was chosen to be one of the six first pilot countries of the "Stent for Life" European initiative. First, a prospective registry was set up in five representative French regions, including all admissions within the first 48 hours of ST-elevated acute cardiac syndrome between 1st and 30th November 2010. The second step was to improve results. The main objective was to encourage members of the public experiencing chest pain to call immediately the SAMU's direct line (phone number "15"). Another action was to organise medical meetings in order to improve the management of these patients. Letters were also sent to general physicians to alert them to the issue and to the Stent for Life project. The third step consisted of creating a new registry, in November 2011, to assess the impact of the above actions on an area basis. It has resulted in streamlining the networks and bringing the rate of non-reperfusion down below the 10% threshold. Much remains to be done to improve public awareness of life-saving actions.
University Hospital and EA 4324, Brest, France.
Martine
M
Gilard
Jean
J
Fajadet
Loic
L
Belle
Didier
D
Carrie
Yves
Y
Cottin
Jean-Louis
JL
Ducasse
Jean-Jacques
JJ
Dujardin
Marc
M
Freysz
Philippe
P
Garot
Patrick
P
Goldstein
Hervé
H
Le Breton
Thierry
T
Lefèvre
Dominique
D
Savary
Trung Hung
TH
Ta
Eric
E
Van Belle
D003299:Cooperative Behavior; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D019317:Evidence-Based Medicine; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D010353:Patient Education as Topic; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000295:instrumentation* / Q000401:mortality; D011446:Prospective Studies; D012042:Registries; D015607:Stents; D015912:Thrombolytic Therapy; D013997:Time Factors; D016896:Treatment Outcome