Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article]
James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger
American Heart Association (AHA)
Published 2018
American Heart Association (AHA)
Published 2018
| Publication Date: |
2018-01-23
|
|---|---|
| Publisher: |
American Heart Association (AHA)
|
| Electronic ISSN: |
1524-4539
|
| Topics: |
Medicine
|
| Keywords: |
Quality and Outcomes, Acute Coronary Syndromes
|
| Published by: |
| _version_ | 1836398759234240513 |
|---|---|
| autor | James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger |
| beschreibung | Background:Regional variations in reperfusion times and mortality in patients with ST-segment–elevation myocardial infarction are influenced by differences in coordinating care between emergency medical services (EMS) and hospitals. Building on the Accelerator-1 Project, we hypothesized that time to reperfusion could be further reduced with enhanced regional efforts.Methods:Between April 2015 and March 2017, we worked with 12 metropolitan regions across the United States with 132 percutaneous coronary intervention–capable hospitals and 946 EMS agencies. Data were collected in the ACTION (Acute Coronary Treatment and Intervention Outcomes Network)-Get With The Guidelines Registry for quarterly Mission: Lifeline reports. The primary end point was the change in the proportion of EMS-transported patients with first medical contact to device time ≤90 minutes from baseline to final quarter. We also compared treatment times and mortality with patients treated in hospitals not participating in the project during the corresponding time period.Results:During the study period, 10 730 patients were transported to percutaneous coronary intervention–capable hospitals, including 974 in the baseline quarter and 972 in the final quarter who met inclusion criteria. Median age was 61 years; 27% were women, 6% had cardiac arrest, and 6% had shock on admission; 10% were black, 12% were Latino, and 10% were uninsured. By the end of the intervention, all process measures reflecting coordination between EMS and hospitals had improved, including the proportion of patients with a first medical contact to device time of ≤90 minutes (67%–74%; P |
| citation_standardnr | 6143785 |
| datenlieferant | ipn_articles |
| feed_id | 317 |
| feed_publisher | American Heart Association (AHA) |
| feed_publisher_url | http://www.americanheart.org/ |
| insertion_date | 2018-01-23 |
| journaleissn | 1524-4539 |
| publikationsjahr_anzeige | 2018 |
| publikationsjahr_facette | 2018 |
| publikationsjahr_intervall | 7984:2015-2019 |
| publikationsjahr_sort | 2018 |
| publisher | American Heart Association (AHA) |
| quelle | Circulation |
| relation | http://circ.ahajournals.org/content/137/4/376.short?rss=1 |
| schlagwort | Quality and Outcomes, Acute Coronary Syndromes |
| search_space | articles |
| shingle_author_1 | James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger |
| shingle_author_2 | James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger |
| shingle_author_3 | James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger |
| shingle_author_4 | James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger |
| shingle_catch_all_1 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] Quality and Outcomes, Acute Coronary Syndromes Background:Regional variations in reperfusion times and mortality in patients with ST-segment–elevation myocardial infarction are influenced by differences in coordinating care between emergency medical services (EMS) and hospitals. Building on the Accelerator-1 Project, we hypothesized that time to reperfusion could be further reduced with enhanced regional efforts.Methods:Between April 2015 and March 2017, we worked with 12 metropolitan regions across the United States with 132 percutaneous coronary intervention–capable hospitals and 946 EMS agencies. Data were collected in the ACTION (Acute Coronary Treatment and Intervention Outcomes Network)-Get With The Guidelines Registry for quarterly Mission: Lifeline reports. The primary end point was the change in the proportion of EMS-transported patients with first medical contact to device time ≤90 minutes from baseline to final quarter. We also compared treatment times and mortality with patients treated in hospitals not participating in the project during the corresponding time period.Results:During the study period, 10 730 patients were transported to percutaneous coronary intervention–capable hospitals, including 974 in the baseline quarter and 972 in the final quarter who met inclusion criteria. Median age was 61 years; 27% were women, 6% had cardiac arrest, and 6% had shock on admission; 10% were black, 12% were Latino, and 10% were uninsured. By the end of the intervention, all process measures reflecting coordination between EMS and hospitals had improved, including the proportion of patients with a first medical contact to device time of ≤90 minutes (67%–74%; P James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger American Heart Association (AHA) 1524-4539 15244539 |
| shingle_catch_all_2 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] Quality and Outcomes, Acute Coronary Syndromes Background:Regional variations in reperfusion times and mortality in patients with ST-segment–elevation myocardial infarction are influenced by differences in coordinating care between emergency medical services (EMS) and hospitals. Building on the Accelerator-1 Project, we hypothesized that time to reperfusion could be further reduced with enhanced regional efforts.Methods:Between April 2015 and March 2017, we worked with 12 metropolitan regions across the United States with 132 percutaneous coronary intervention–capable hospitals and 946 EMS agencies. Data were collected in the ACTION (Acute Coronary Treatment and Intervention Outcomes Network)-Get With The Guidelines Registry for quarterly Mission: Lifeline reports. The primary end point was the change in the proportion of EMS-transported patients with first medical contact to device time ≤90 minutes from baseline to final quarter. We also compared treatment times and mortality with patients treated in hospitals not participating in the project during the corresponding time period.Results:During the study period, 10 730 patients were transported to percutaneous coronary intervention–capable hospitals, including 974 in the baseline quarter and 972 in the final quarter who met inclusion criteria. Median age was 61 years; 27% were women, 6% had cardiac arrest, and 6% had shock on admission; 10% were black, 12% were Latino, and 10% were uninsured. By the end of the intervention, all process measures reflecting coordination between EMS and hospitals had improved, including the proportion of patients with a first medical contact to device time of ≤90 minutes (67%–74%; P James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger American Heart Association (AHA) 1524-4539 15244539 |
| shingle_catch_all_3 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] Quality and Outcomes, Acute Coronary Syndromes Background:Regional variations in reperfusion times and mortality in patients with ST-segment–elevation myocardial infarction are influenced by differences in coordinating care between emergency medical services (EMS) and hospitals. Building on the Accelerator-1 Project, we hypothesized that time to reperfusion could be further reduced with enhanced regional efforts.Methods:Between April 2015 and March 2017, we worked with 12 metropolitan regions across the United States with 132 percutaneous coronary intervention–capable hospitals and 946 EMS agencies. Data were collected in the ACTION (Acute Coronary Treatment and Intervention Outcomes Network)-Get With The Guidelines Registry for quarterly Mission: Lifeline reports. The primary end point was the change in the proportion of EMS-transported patients with first medical contact to device time ≤90 minutes from baseline to final quarter. We also compared treatment times and mortality with patients treated in hospitals not participating in the project during the corresponding time period.Results:During the study period, 10 730 patients were transported to percutaneous coronary intervention–capable hospitals, including 974 in the baseline quarter and 972 in the final quarter who met inclusion criteria. Median age was 61 years; 27% were women, 6% had cardiac arrest, and 6% had shock on admission; 10% were black, 12% were Latino, and 10% were uninsured. By the end of the intervention, all process measures reflecting coordination between EMS and hospitals had improved, including the proportion of patients with a first medical contact to device time of ≤90 minutes (67%–74%; P James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger American Heart Association (AHA) 1524-4539 15244539 |
| shingle_catch_all_4 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] Quality and Outcomes, Acute Coronary Syndromes Background:Regional variations in reperfusion times and mortality in patients with ST-segment–elevation myocardial infarction are influenced by differences in coordinating care between emergency medical services (EMS) and hospitals. Building on the Accelerator-1 Project, we hypothesized that time to reperfusion could be further reduced with enhanced regional efforts.Methods:Between April 2015 and March 2017, we worked with 12 metropolitan regions across the United States with 132 percutaneous coronary intervention–capable hospitals and 946 EMS agencies. Data were collected in the ACTION (Acute Coronary Treatment and Intervention Outcomes Network)-Get With The Guidelines Registry for quarterly Mission: Lifeline reports. The primary end point was the change in the proportion of EMS-transported patients with first medical contact to device time ≤90 minutes from baseline to final quarter. We also compared treatment times and mortality with patients treated in hospitals not participating in the project during the corresponding time period.Results:During the study period, 10 730 patients were transported to percutaneous coronary intervention–capable hospitals, including 974 in the baseline quarter and 972 in the final quarter who met inclusion criteria. Median age was 61 years; 27% were women, 6% had cardiac arrest, and 6% had shock on admission; 10% were black, 12% were Latino, and 10% were uninsured. By the end of the intervention, all process measures reflecting coordination between EMS and hospitals had improved, including the proportion of patients with a first medical contact to device time of ≤90 minutes (67%–74%; P James G. Jollis, Hussein R. Al–Khalidi, Mayme L. Roettig, Peter B. Berger, Claire C. Corbett, Shannon M. Doerfler, Christopher B. Fordyce, Timothy D. Henry, Lori Hollowell, Zainab Magdon–Ismail, Aȷar Kochar, James J. McCarthy, Lisa Monk, Peter O’Brien, Thomas D. Rea, Jay Shavadia, Jacqueline Tamis–Holland, B. Hadley Wilson, Khaled M. Ziada, Christopher B. Granger American Heart Association (AHA) 1524-4539 15244539 |
| shingle_title_1 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] |
| shingle_title_2 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] |
| shingle_title_3 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] |
| shingle_title_4 | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] |
| timestamp | 2025-06-30T23:32:11.156Z |
| titel | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] |
| titel_suche | Impact of Regionalization of ST-Segment-Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services-Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention [Original Research Article] |
| topic | WW-YZ |
| uid | ipn_articles_6143785 |