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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
Summary
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.
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