Using patient-reported outcome measures for primary percutaneous coronary intervention

Area of Science:

• Cardiology
• Health Outcomes Research
• Patient-Reported Outcomes

Background:

• Routine outcome assessment post-myocardial infarction often overlooks long-term patient experiences.
• Patient-reported outcome measures (PROMs) offer a valuable perspective on recovery beyond immediate clinical endpoints.

Purpose of the Study:

• To evaluate the feasibility of using PROMs 3 months after ST-segment-elevation myocardial infarction (STEMI).
• To identify potential response biases in PROM data collection.
• To compare patient outcomes with their recalled baseline health status.

Main Methods:

• A retrospective questionnaire including EQ-5D-3L and Seattle Angina Questionnaire (SAQ-7) was administered to STEMI patients.
• Response rates and potential biases were assessed for a 3-month follow-up.
• Paired t-tests and chi-squared tests were used to compare outcomes with baseline data.

Main Results:

• A 66.3% response rate was achieved for the 3-month follow-up.
• Responders generally reported better baseline health, suggesting potential bias.
• While angina symptoms and quality of life improved, physical limitations worsened compared to baseline.

Conclusions:

• Routine PROM use is feasible for assessing STEMI impact.
• Further research with larger, multi-center studies is needed to confirm findings and address response bias.
• Interpreting PROM data requires careful consideration of potential biases related to patient general health at baseline.