1. Adherence to quality indicators for ST-elevation myocardial infarction and its relation to mortality: a hospital network analysis from the Belgian STEMI database
- Author
-
Olivier Van Caenegem, Herbert De Raedt, Yasmine Sluyts, Sofie Gevaert, Peter R Sinnaeve, Sara Bosmans, Jonas Lysens de Oliveira E Silva-Van Acker, Christophe Beauloye, Jean-François Argacha, Pascal Vranckx, Patrick Coussement, Kristien Wouters, Marc J. Claeys, Philippe Dubois, Patrick Evrard, UCL - (MGD) Services des soins intensifs, UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (SLuc) Service de pathologies cardiovasculaires intensives, UCL - (SLuc) Service de soins intensifs, UCL - (SLuc) Service de cardiologie, Biology, Clinical sciences, Cardio-vascular diseases, and Cardiology
- Subjects
Time Factors ,medicine.medical_treatment ,Quality indicator ,primary PCI ,computer.software_genre ,STEMI ,Belgium ,Interquartile range ,St elevation myocardial infarction ,medicine ,Humans ,Myocardial infarction ,cardiovascular diseases ,Medical prescription ,Quality Indicators, Health Care ,Hospital network ,Framingham Risk Score ,Database ,business.industry ,Health Policy ,Percutaneous coronary intervention ,medicine.disease ,Hospitals ,ST Elevation Myocardial Infarction ,Human medicine ,business ,Cardiology and Cardiovascular Medicine ,computer ,TIMI - Abstract
Aims To assess the adherence to established quality indicators (QIs) for ST-elevation myocardial infarction (STEMI) at the hospital-network level and its relation to outcome. Methods and results The data of 7774 STEMI patients admitted to 32 STEMI networks during the period 2014–18 were extracted from the Belgian STEMI database. Five QIs [primary percutaneous coronary intervention use, diagnosis-to-balloon time (DiaTB) Conclusion Among established STEMI networks, the time delay between diagnosis and treatment was the most variable and the most relevant prognostic QI, underscoring the importance of assessing quality of care throughout the whole network.
- Published
- 2021