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Impact of a Mobile, Cloud-Based Care-Coordination Platform on Door-to-Balloon Time in Patients With STEMI: Initial
Ahmed Aldajani1,2, Omar Chaabo1, François Brouillette1
1Division of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada.
Insights
The Stenoa care-coordination platform significantly reduced treatment delays for ST-elevation myocardial infarction (STEMI) patients. This improvement in STEMI care was observed by optimizing key time components from initial contact to device deployment.
Area of Science:
- Cardiology
- Health Informatics
- Medical Technology
Background:
- Timely treatment is critical for ST-elevation myocardial infarction (STEMI) outcomes.
- Care-coordination platforms offer potential solutions to reduce treatment delays.
- Optimizing the patient pathway in STEMI care remains a significant clinical challenge.
Purpose of the Study:
- To evaluate the impact of the Stenoa care-coordination platform on STEMI treatment times.
- To assess reductions in door-to-balloon time components following Stenoa implementation.
Main Methods:
- Retrospective cohort study of 180 STEMI patients (September 2020 - March 2023).
- Comparison of treatment times before and after Stenoa platform implementation.
- Analysis focused on time from first medical contact to device, including key intermediate steps.
Main Results:
- Significant reductions observed in time from first medical contact to ECG (P=0.02).
- Significant reductions observed in time from ECG to cath-lab activation (P=0.04).
- Significant reductions observed in time from cath-lab activation to cath-lab arrival (P=0.02).
Conclusions:
- The Stenoa platform effectively reduces critical time components in STEMI treatment.
- Implementation of care-coordination technology like Stenoa can optimize STEMI patient pathways.
- Stenoa shows promise in improving the efficiency of STEMI care delivery.
Abstract:
Care-coordination platforms may optimize ST-elevation myocardial infarction (STEMI) treatment delays. This study aimed to assess the impact of Stenoa use on treatment delays in STEMI patients. We conducted a retrospective cohort study on local STEMI cases for the period between September 2020 and March 2023, comparing the times from first medical contact to device, before vs after the implementation of the Stenoa platform by the catheterization laboratory (cath-lab) and emergency department. A total of 180 patients were included. Significant reductions were found in times from first medical contact to electrocardiogram, from electrocardiogram to cath-lab activation, and from cath-lab activation to cath-lab arrival (P = 0.02, P = 0.04, and P = 0.02, respectively), after the platform was implemented. These findings suggest that use of Stenoa reduces STEMI door-to-balloon-time components.
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