Care quality monitoring of a ST-segment elevation XXXX programme over a 5-year period.

@entity1 @entity583
AIMS: The aim of this study is to investigate the long-term impact of a prehospital ECG programme on treatment times for @entity1 with @entity583 ( @entity583 ) undergoing primary percutaneous coronary intervention (PCI). METHODS: From January 2008 to December 2012, 213 @entity583 @entity1 transported by the Emergency Medical System (EMS) underwent primary PCI in our Hospital. The protocol included ECG tele-transmission, early activation of the cath lab and direct routing of the @entity1 for primary PCI. Fifty-four @entity1 referred by EMS in 2007, when ECG tele-transmission was unavailable, were used as controls. First diagnostic ECG-to-balloon time, door-to-balloon time and total ischemic time were collected for all @entity1 . RESULTS: First diagnostic ECG-to-balloon time decreased from 125.5min in 2007 to 104min in the first year after implementation of the @entity583 programme (2008). Successively, it declined to 81min by the end of the study period (2012) (P<0.0001). Door-to-balloon time decreased notably from 92.5min in 2007 to 40.5min by the end of the study period (p<0.0001). Total ischemic time fell from 200 min in 2007 to 170 min in 2008 and it further declined to 163.5 min in 2012 (p<0.042). CONCLUSIONS: We report progressive improvements in times to treatment over a 5-year period in a @entity583 program for @entity1 referred by the EMS. The importance of data collection and monitoring is highlighted by our results.
