Abstract: P4864 A well organized regional network is a major
myocardial infarction with STelevation (STEMI), in terms of reperfusion decision and ... rate of patients not receiving reperfusion therapy from 14 to 4%;а(3) a ...
Abstract: P4864 A well organized regional network is a major determinant of improvement of acute myocardial infarction management Authors: C. El Khoury 1, P. Serre 2, E. Flocard 1, O. Capel 3, X. Jacob 3, L. Banaei 4, A. Desplanques 4, E. Bonnefoy Cudraz5, 1Lucien Hussel Hospital vienne France, 2Hospital Center of Bourg en Bresse Bourg en Bresse France, 3University Hospital of Lyon Lyon France, 4French National Authority for Health Saint Denis France, 5University Hospital of Lyon Hospital Louis Pradel Lyon France, Topic(s): Infarction acute phase STEMI Citation: European Heart Journal ( 2011 ) 32 ( Abstract Supplement ), 869 Purpose: We assessed the impact of a regional network implementation on the management of acute myocardial infarction with STelevation (STEMI), in terms of reperfusion decision and transfer destination. Methods: Our network has defined in 2007 common guidelines reproducing those of European Society of Cardiology (ESC) among 37 hospitals to improve MI care pathway and transfer of STEMI. To evaluate their impact, the emergency doctors involved in the network were asked to include in a prospective register all suspected MI when first medical contact (FMC) was a Mobile Intensive Care Unit (MICU). Recent data were compared to those collected before the guideline dissemination. The acute phase indicators as defined by French National Authority for Health (FNAH) were evaluated: rate and time to reperfusion, rate of direct referral to transfer to cathlab, rate of patients receiving antiplatelet therapy, analgesia and heparin, and 30 day mortality. Results: Between February 2008 and June 2010, 1184 patients were managed by 18 MICU and 8 cathlabs. Their data were compared to those of 545 patients managed between 2004 and 2006, using the same inclusion criteria and analysis. The comparison of the FNAH indicators shows: (1) a significant improvement (p
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