Document Detail

Systematic quality control for management of ST elevation acute myocardial infarction in setting of local network.
MedLine Citation:
PMID:  20440248     Owner:  NLM     Status:  MEDLINE    
AIM: Adherence to evidence based guidelines, assessed by measuring key indicators, allows to detect, evaluate and improve quality of care. Since 2004 in Carlo Poma Hospital, following the introduction of a network for ST-elevation myocardial infarction (STEMI) management, the authors carried out a clinical database in order to measure quality of care in STEMI patients. MATERIALS AND METHODS: A real time upgradable database was developed, to assess clinical practice in myocardial infarction management. The authors evaluated prevalence and control of risk factors, pharmacological therapies and interventional procedures, pathways and delays to care. RESULTS: From 1 February 2004 to 31 January 2008, 1,714 consecutive patients with myocardial infarction were admitted in the Intensive Care Unit (ICU). Primary percutaneous coronary intervention (PCI) was performed in 85% of STEMI patients. Door to balloon time was greater than 90 min in only 17% of patients, of whom 88% coming from emergency department and 12% transferred by 118. CONCLUSION: In the authors' experience quality indicators proved useful in the management of myocardial infarction. Implementation of 118 and improvement of pre-hospital diagnosis in setting of local network can reduce time to treatment.
R Zanini; F Buffoli; L Tomasi; A Izzo; C Lettieri; N Cicorella; M Romano; M Aroldi; D Belfanti
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Publication Detail:
Type:  Journal Article     Date:  2009-11-30
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  58     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-04     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  183-92     Citation Subset:  IM    
Division of Cardiology, "Carlo Poma" Hospital, Mantova, Italy.
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MeSH Terms
Database Management Systems*
Databases, Factual*
Middle Aged
Myocardial Infarction / physiopathology,  therapy*
Quality Control
Quality Indicators, Health Care
Quality of Health Care / standards*

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