Matches in SemOpenAlex for { <https://semopenalex.org/work/W4200460513> ?p ?o ?g. }
Showing items 1 to 94 of
94
with 100 items per page.
- W4200460513 endingPage "100077" @default.
- W4200460513 startingPage "100077" @default.
- W4200460513 abstract "Since the 1990s, national guidelines have recommended hospitals develop STEMI treatment protocols and monitor quality. A 2003 survey of Minnesota hospitals without cardiac catheterization laboratories (CCL) found <2/3 had STEMI protocols, <50% had a quality assessment (QA) process, and protocols in existence were incomplete. We evaluated temporal changes in STEMI processes in relationship to changes in mortality. Follow-up surveys were mailed to emergency departments at 108 Minnesota hospitals without CCL. Among 87% of responding hospitals, 89% had formal protocols or guidelines for STEMI management compared to 63% in 2003 (p < 0.001). In 2010, 67% of hospitals had triage/transfer criteria and 15% of hospitals used protocols for transfer decisions, compared to only 8% (p < 0.001) and 1% (p = 0.098), respectively, in 2003. The percentage of hospitals transferring patients with STEMI from the emergency department increased from 23% in 2003 to 56% in 2010 (p < 0.001). During this time, age-adjusted acute MI mortality rate in Minnesota decreased 33% and was more pronounced in areas with regional STEMI systems. Since 2003, utilization of STEMI guidelines, protocols, and standing orders in Minnesota hospitals without CCL has markedly improved with <10% of hospitals lacking specific STEMI management protocols. The majority of hospitals routinely transfer patients with STEMI for primary PCI and have comprehensive QA processes. This improvement was stimulated by regional STEMI systems, further supporting the current class I recommendation for STEMI systems of care in current guidelines. The decline in Minnesota STEMI mortality paralleled the growth of regional STEMI systems." @default.
- W4200460513 created "2021-12-31" @default.
- W4200460513 creator A5010240121 @default.
- W4200460513 creator A5010605087 @default.
- W4200460513 creator A5039995472 @default.
- W4200460513 creator A5059617617 @default.
- W4200460513 creator A5067546983 @default.
- W4200460513 creator A5071560112 @default.
- W4200460513 creator A5084854513 @default.
- W4200460513 creator A5089315196 @default.
- W4200460513 date "2022-01-01" @default.
- W4200460513 modified "2023-09-26" @default.
- W4200460513 title "The impact of regional STEMI systems on protocol use and quality improvement initiatives in community hospitals without cardiac catheterization laboratories" @default.
- W4200460513 cites W170338512 @default.
- W4200460513 cites W2018021231 @default.
- W4200460513 cites W2030352437 @default.
- W4200460513 cites W20425061 @default.
- W4200460513 cites W2043351732 @default.
- W4200460513 cites W2044772311 @default.
- W4200460513 cites W2059289792 @default.
- W4200460513 cites W2079030174 @default.
- W4200460513 cites W2101356558 @default.
- W4200460513 cites W2128416986 @default.
- W4200460513 cites W2145453183 @default.
- W4200460513 cites W2161195367 @default.
- W4200460513 cites W2171923836 @default.
- W4200460513 cites W2907793374 @default.
- W4200460513 cites W3146402785 @default.
- W4200460513 cites W3209376675 @default.
- W4200460513 cites W4225771443 @default.
- W4200460513 cites W4245974743 @default.
- W4200460513 cites W4293372203 @default.
- W4200460513 doi "https://doi.org/10.1016/j.ahjo.2021.100077" @default.
- W4200460513 hasPublicationYear "2022" @default.
- W4200460513 type Work @default.
- W4200460513 citedByCount "0" @default.
- W4200460513 crossrefType "journal-article" @default.
- W4200460513 hasAuthorship W4200460513A5010240121 @default.
- W4200460513 hasAuthorship W4200460513A5010605087 @default.
- W4200460513 hasAuthorship W4200460513A5039995472 @default.
- W4200460513 hasAuthorship W4200460513A5059617617 @default.
- W4200460513 hasAuthorship W4200460513A5067546983 @default.
- W4200460513 hasAuthorship W4200460513A5071560112 @default.
- W4200460513 hasAuthorship W4200460513A5084854513 @default.
- W4200460513 hasAuthorship W4200460513A5089315196 @default.
- W4200460513 hasBestOaLocation W42004605131 @default.
- W4200460513 hasConcept C126322002 @default.
- W4200460513 hasConcept C159110408 @default.
- W4200460513 hasConcept C162324750 @default.
- W4200460513 hasConcept C194828623 @default.
- W4200460513 hasConcept C198783460 @default.
- W4200460513 hasConcept C21547014 @default.
- W4200460513 hasConcept C2777120189 @default.
- W4200460513 hasConcept C2777385415 @default.
- W4200460513 hasConcept C2780724011 @default.
- W4200460513 hasConcept C45393284 @default.
- W4200460513 hasConcept C500558357 @default.
- W4200460513 hasConcept C545542383 @default.
- W4200460513 hasConcept C71405471 @default.
- W4200460513 hasConcept C71924100 @default.
- W4200460513 hasConceptScore W4200460513C126322002 @default.
- W4200460513 hasConceptScore W4200460513C159110408 @default.
- W4200460513 hasConceptScore W4200460513C162324750 @default.
- W4200460513 hasConceptScore W4200460513C194828623 @default.
- W4200460513 hasConceptScore W4200460513C198783460 @default.
- W4200460513 hasConceptScore W4200460513C21547014 @default.
- W4200460513 hasConceptScore W4200460513C2777120189 @default.
- W4200460513 hasConceptScore W4200460513C2777385415 @default.
- W4200460513 hasConceptScore W4200460513C2780724011 @default.
- W4200460513 hasConceptScore W4200460513C45393284 @default.
- W4200460513 hasConceptScore W4200460513C500558357 @default.
- W4200460513 hasConceptScore W4200460513C545542383 @default.
- W4200460513 hasConceptScore W4200460513C71405471 @default.
- W4200460513 hasConceptScore W4200460513C71924100 @default.
- W4200460513 hasLocation W42004605131 @default.
- W4200460513 hasLocation W42004605132 @default.
- W4200460513 hasOpenAccess W4200460513 @default.
- W4200460513 hasPrimaryLocation W42004605131 @default.
- W4200460513 hasRelatedWork W1832617248 @default.
- W4200460513 hasRelatedWork W1968922094 @default.
- W4200460513 hasRelatedWork W1983600708 @default.
- W4200460513 hasRelatedWork W1990875308 @default.
- W4200460513 hasRelatedWork W2008324010 @default.
- W4200460513 hasRelatedWork W2072846272 @default.
- W4200460513 hasRelatedWork W2114136181 @default.
- W4200460513 hasRelatedWork W2117899802 @default.
- W4200460513 hasRelatedWork W2216674862 @default.
- W4200460513 hasRelatedWork W3024843221 @default.
- W4200460513 hasVolume "13" @default.
- W4200460513 isParatext "false" @default.
- W4200460513 isRetracted "false" @default.
- W4200460513 workType "article" @default.