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Call-to-balloon time dashboard in patients with ST-segment elevation myocardial infarction results in significant

Maaike P J Hermans1, Matthijs A Velders, Martin Smeekes

  • 1Department of Cardiology, Leiden University Medical Centre, Leiden, the Netherlands.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|December 21, 2016
PubMed

Insights

Implementing a home-to-hospital (H2H) dashboard significantly reduced ischaemic time for ST-segment elevation myocardial infarction (STEMI) patients. This real-time monitoring system improved the logistic chain, leading to faster treatment and better outcomes.

Area of Science:

  • Cardiology
  • Health Informatics
  • Emergency Medicine

Background:

  • Timely reperfusion therapy, such as primary percutaneous coronary intervention (pPCI), is critical for ST-segment elevation myocardial infarction (STEMI) patients.
  • Reducing ischaemic time is a key factor in improving clinical outcomes for STEMI.
  • Current systems may have delays in the pre-hospital and hospital logistic chain.

Purpose of the Study:

  • To assess the impact of an innovative home-to-hospital (H2H) time monitoring dashboard on ischaemic time in STEMI patients.
  • To evaluate improvements in the logistic chain following the implementation of real-time monitoring and feedback.
  • To determine if the H2H dashboard is associated with shorter treatment delays.

Main Methods:

  • A comparative study analyzing STEMI patients treated with pPCI before (2008-2009) and after (2011-2014) the implementation of the H2H dashboard.
  • Data collection included door-to-balloon time, FMC-to-balloon time, and overall treatment delay.
  • Statistical analysis compared median time intervals between the two groups.

Main Results:

  • Significant reductions in median time intervals were observed after H2H dashboard implementation.
  • Door-to-balloon time decreased from 40 to 32 minutes (p<0.001).
  • FMC-to-balloon time decreased from 80 to 62 minutes (p<0.001), and treatment delay reduced from 159 to 142 minutes (p<0.001).

Conclusions:

  • Real-time monitoring via the H2H dashboard effectively shortens ischaemic time intervals in STEMI patients.
  • The H2H dashboard improves the efficiency of the logistic chain for STEMI care.
  • This system is independently associated with reduced treatment delays, enhancing patient care.
Abstract

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