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Measuring outcome differences associated with STEMI screening and diagnostic performance: a multicentred

Maame Yaa A B Yiadom1, Bryn E Mumma2, Christopher W Baugh3

  • 1Department of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.

BMJ Open
|May 5, 2018
PubMed

Insights

Timely screening and diagnosis in ST-segment elevation myocardial infarction (STEMI) care are crucial. This study evaluates their impact on treatment and outcomes, introducing new performance metrics for emergency departments (EDs).

Area of Science:

  • Cardiovascular Medicine
  • Emergency Medicine
  • Health Services Research

Background:

  • Advances in ST-segment elevation myocardial infarction (STEMI) management focus on timely emergency care.
  • Current emergency department (ED) screening for STEMI diagnosis via ECG is not universally optimal.
  • The association between timely STEMI screening/diagnosis and intervention/outcomes under current practices is unknown.

Purpose of the Study:

  • To evaluate the relationship between timely STEMI screening and diagnosis with treatment and postintervention outcomes.
  • To introduce novel metrics for comparing screening and diagnostic care performance across facilities (e.g., door-to-screening, door-to-diagnosis, door-to-catheterization lab arrival).
  • To describe the use of electronic health record data combined with an existing disease registry.

Main Methods:

  • Retrospective multicenter cohort study.
  • Inclusion of 1220 patients across seven EDs.
  • Utilizing electronic health record data and a disease registry.

Main Results:

  • Study completion will provide feedback on STEMI care pathway screening and diagnostic performance.
  • Novel metrics for comparing screening and diagnostic care will be presented.
  • Findings will inform the development of screening and diagnostic support tools.

Conclusions:

  • The study will offer critical insights into the quality of contemporary STEMI care.
  • Results aim to improve emergency care delivery for STEMI patients.
  • Findings will be disseminated through publication and data sharing with participating sites.
Abstract

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