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Using a Cloud Computing System to Reduce Door-to-Balloon Time in Acute ST-Elevation Myocardial Infarction Patients

Chi-Kung Ho1, Fu-Cheng Chen2,3, Yung-Lung Chen3,4

  • 1Department of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan.

Biomed Research International
|September 14, 2017
PubMed

Insights

A cloud computing system did not reduce door-to-balloon time for ST segment elevation myocardial infarction (STEMI) patients. However, the protocol improved pain-to-ECG and cath lab-to-balloon times in specific patient groups.

Area of Science:

  • Cardiology
  • Health Informatics
  • Medical Technology

Background:

  • Evaluating cloud computing systems for ST segment elevation myocardial infarction (STEMI) care.
  • Assessing the impact on percutaneous coronary intervention (PCI) door-to-balloon (DTB) time.

Purpose of the Study:

  • To determine if a cloud computing system reduces DTB time in STEMI patients.
  • To analyze the effect of a transfer protocol on clinical outcomes.

Main Methods:

  • 369 STEMI patients were analyzed before and after protocol implementation.
  • Comparison between 262 patients transferred via protocol and 107 via traditional referral.
  • Clinical outcomes including DTB time, pain-to-arrival, and pain-to-balloon time were measured.

Main Results:

  • No significant difference in overall DTB time, pain-to-arrival, or pain-to-balloon time between groups.
  • Significant reduction in pain-to-ECG time (Killip I/II) and cath lab-to-balloon time (Killip III/IV) in the protocol group.
  • No significant differences in complication rates or 30-day mortality.

Conclusions:

  • The implemented protocol reduced specific time intervals (pain-to-ECG, cath lab-to-balloon) in certain STEMI patient subgroups.
  • Cloud computing integration within this protocol did not shorten the overall DTB time.
  • Independent predictors of 30-day mortality included age, Killip score, and troponin-I levels.
Abstract

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