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Evaluation of the ODISEA APP for improving a STEMI regional network
Jaime Aboal1, Rafel Ramos2, Carmen Martín3
1Cardiology Department, University Hospital Dr. Josep Trueta, Girona, Spain; Biomedical Research Institute, Girona (IdIBGi), CIVERCV, ICS, Catalonia, Spain.
International Journal of Cardiology
|June 3, 2024
Summary
The ODISEA smartphone app improved ST elevation myocardial infarction (STEMI) care by reducing diagnostic ECG to reperfusion times and decreasing misdiagnoses. This technological innovation enhances STEMI network efficiency.
Area of Science:
- Cardiology
- Health Informatics
- Medical Technology
Background:
- Technological innovations in ST elevation myocardial infarction (STEMI) care networks enhance information flow and coordination.
- Faster reperfusion times are critical for improving outcomes in STEMI patients.
- The ODISEA smartphone application was developed to optimize a STEMI care network.
Purpose of the Study:
- To evaluate the impact of the ODISEA application on STEMI care network performance.
- To examine differences in reperfusion time and diagnostic accuracy before and after ODISEA implementation.
Main Methods:
- A quasi-experimental study design compared STEMI patient outcomes.
- Data were collected during a period before and after the introduction of the ODISEA APP.
- Key metrics included time from diagnostic ECG to wire crossing and final diagnosis.
Main Results:
- A total of 699 patients were analyzed (415 pre-ODISEA, 284 post-ODISEA).
- The ODISEA APP use was associated with a significant reduction in time from diagnostic ECG to wire crossing (117 vs 102 min, p < 0.001).
- A significant decrease was observed in the percentage of patients with a final diagnosis other than acute coronary syndrome (17.1% vs 9.5%, p = 0.004).
Conclusions:
- The ODISEA APP demonstrates utility in managing suspected STEMI patients.
- Implementation of the ODISEA APP can reduce critical time intervals in STEMI care.
- The application may improve diagnostic accuracy, reducing unnecessary procedures for non-ACS patients.
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