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- W1997304812 abstract "An important goal of health care delivery for STEMI patients is to shorten the times from the patient presentation to delivery of effective reperfusion therapy (PPCI or fibrinolysis). Despite the generally recognized importance of short presentation to treatment times, achievement of guidelines recommended times to treatment has been challenging worldwide. We report experience of Southern Alberta Regional STEMI program over last 7 years. All STEMI patients captured by STEMI program between January 2004 and December 2010 were analyzed. A total of 2430 patients underwent primary PCI and 922 patients received fibrinolytics. The implementation of the province wide STEMI program resulted in reduction in door to treatment times. The door to needle times improvement demonstrated only trend towards statistical significance (55.3 ± 55.5 to 36.9 ± 25 min; P = 0.084) while door to balloon times significantly shorten (106.6 ± 77 to 86.6 ± 58 min; P = 0.002) over time. The proportion of patients that received reperfusion therapy within 30 min (fibrinolysis) and 90 min (PPCI) improved numerically, but did not reach statistical significance (fibrinolytics from 39.7% to 48.1%; P value 0.162; PPCI from 55.1% to 65.2%; P = 0.186). Observed decrease in door to treatment times was associated with overall reduction in mortality from 6.0% in 2004 to 3.4% in 2010 (P = 0.014). Implementation of regional STEMI program in Southern Alberta had led to reduction in door to treatment times for pharmacological and mechanical reperfusion in STEMI patients. These changes were associated with improved mortality over the last 7 years." @default.
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- W1997304812 date "2011-09-01" @default.
- W1997304812 modified "2023-10-18" @default.
- W1997304812 title "391 Effect of regional STEMI program on door to treatment times in Southern Alberta" @default.
- W1997304812 doi "https://doi.org/10.1016/j.cjca.2011.07.330" @default.
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