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Reducing door-to-wire time for ST-elevation myocardial infarction patients undergoing primary percutaneous coronary
Xiaoru Zeng1, Ling Chen1, Eric Jou2,3
1Internal Medicine-Cardiovascular Department, Foshan Sanshui District People's Hospital, Foshan, Guangdong, China.
Insights
Multidisciplinary collaboration significantly reduced door-to-wire time for ST-elevation myocardial infarction (STEMI) patients. This strategy improved treatment efficiency, leading to faster interventions and better patient care outcomes.
Area of Science:
- Cardiology
- Healthcare Management
Background:
- ST-elevation myocardial infarction (STEMI) requires rapid intervention.
- Door-to-wire time is a critical metric for STEMI treatment success.
- Multidisciplinary collaboration can potentially optimize patient care pathways.
Purpose of the Study:
- To evaluate the impact of multidisciplinary collaboration on reducing door-to-wire time in STEMI patients.
- To assess changes in door-to-puncture and door-to-wire times before and after intervention implementation.
Main Methods:
- Retrospective analysis of STEMI patients admitted between 2018 and 2019.
- Comparison of door-to-wire times between a pre-intervention (2018) and post-intervention (2019) period.
- Intervention measures focused on enhancing multidisciplinary collaboration were implemented.
Main Results:
- Median door-to-puncture time decreased from 57.5 to 46.0 minutes (P < .001).
- Median door-to-wire time decreased from 88.0 to 63.5 minutes (P < .001).
- The proportion of patients with door-to-wire time <60 minutes increased from 24% to 40.67% (P = .002).
Conclusions:
- Multidisciplinary collaboration is an effective strategy for reducing door-to-wire time in STEMI patients.
- Implementation of collaborative strategies can lead to significant improvements in treatment efficiency.
- This approach holds promise for enhancing patient care in STEMI management.
Abstract:
The aim of this study is to reduce door-to-wire time for ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention through multidisciplinary collaboration. Patients over the age of 18who visited the Foshan Sanshui District People's Hospital between 2018 and 2019 and were diagnosed with STEMI were included in this study. Analyses were performed with patients segregated into a pre-intervention interim period (2018) and a post-intervention period (2019) based on the date of admission. Intervention measures for reducing door to wire time were fully implemented towards the end of the interim period. There were no significant differences in the baseline characteristics of the 2 groups. Median door to puncture time was reduced from 57.5 minutes in the interim period to 46.0 minutes (P < .001) in the post-intervention period. Similarly, median door to wire time was shortened from 88.0 minutes to 63.5 minutes (P < .001). During the interim period, 24% of patients had a door to wire time of <60 minutes, compared to 40.67% of patients in the post-intervention period (P = .002). Multidisciplinary collaboration is an important strategy to reduce door to wire time for patients with STEMI, and may be implemented in suitable centers to improve patient care.
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