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Changes in Acute Coronary Syndrome Treatment and Prognosis After Implementation of the Infarction Code in a Hospital

Alberto Cordero1, Ramón López-Palop1, Pilar Carrillo1

  • 1Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain.

Revista Espanola De Cardiologia (English Ed.)
|March 17, 2016
PubMed

Insights

Implementing an infarction protocol improved acute coronary syndrome management, increasing ST-segment elevation rates and primary angioplasty use. High-risk patients saw reduced in-hospital mortality, with no change in long-term outcomes.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Healthcare Systems

Background:

  • Emergency care systems aim to optimize treatment for myocardial infarction and acute coronary syndrome.
  • The impact of a dedicated infarction protocol on acute coronary syndrome (ACS) management requires evaluation.

Purpose of the Study:

  • To compare the management and outcomes of patients with acute coronary syndrome before and after implementing a specific infarction protocol.

Main Methods:

  • A comparative study analyzed 1210 patients admitted with ACS.
  • Data collected included patient demographics, comorbidities, GRACE scores, treatment pathways, and in-hospital and post-discharge outcomes.

Main Results:

  • Post-protocol implementation, there was a significant increase in ST-segment elevation ACS (29.8%-39.5%) and coronary revascularizations (82.1%-90.1%).
  • Primary angioplasty became routine (51.9%-94.9%), with reduced catheterization times and increased early revascularization.
  • Hospital stay shortened significantly, and in-hospital mortality decreased in high-risk patients (38.8%-22.4%).

Conclusions:

  • The infarction protocol enhanced ACS care, evidenced by increased ST-segment elevation ACS and primary angioplasty rates.
  • The protocol led to reduced hospital stays and improved in-hospital mortality for high-risk individuals.
  • Long-term prognosis post-discharge remained consistent between the periods.
Abstract

Keywords:
Acute coronary syndromeCódigo infartoInfarction codeMortalidadMortalityRevascularizaciónRevascularizationSíndrome coronario agudo

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