Care of patients with ST-elevation myocardial infarction: an international analysis of quality indicators in the acute coronary syndrome STEMI Registry of the EURObservational Research Programme and ACVC and EAPCI Associations of the European Society of Cardiology in 11 462 patients
Authors' conclusion
Care for STEMI shows wide geographic variation in the receipt of timely primary PCI, and is in contrast with the more uniform delivery of guideline-recommended pharmacotherapies at time of hospital discharge.
Study context
- Population
- Patients with STEMI within 24 h of symptom onset, 196 centres in 26 ESC members and 3 affiliated countries
- Participants
- 11,462 patients · 196 centres
- Outcome
- Quality indicators of STEMI care
Methodological detailsregistry, multicentre, international
- Registry
- Multicentre
- International
Main finding
As reported in the abstract
- Median delay from arrival at percutaneous cardiovascular intervention (PCI) centre to primary PCI (IQR 20-74)
- 40 min
- Primary PCI within guideline-recommended 60 min
- 65.8%
- Required transfer to PCI-capable hospital
- 33.2%
- Transferred patients treated within 120 min
- 27.2%
- Radial access in primary PCI (geographic range 76.4 to 9.1%)
- 56.6%
- Statins at discharge
- 98.7%
- ACEi/ARB at discharge (history of HF or LVEF ≤40%)
- 84.0%
- Beta-blockers at discharge (history of HF or LVEF ≤40%)
- 88.7%
Observational data: associations, not effects.
Original publication
Care of patients with ST-elevation myocardial infarction: an international analysis of quality indicators in the acute coronary syndrome STEMI Registry of the EURObservational Research Programme and ACVC and EAPCI Associations of the European Society of Cardiology in 11 462 patients. Eur Heart J Acute Cardiovasc Care. Published 8 November 2022. doi:10.
Summarised from the published abstract; every number is checked against it