Effect of an integrated care model on ST-segment elevation myocardial infarction management in China: a prospective, multicentre, non-randomised controlled study
Authors' conclusion
Use of an integrated care model focusing on prehospital delay may increase the rate of timely treatment in areas with limited medical resources in China.
Study context
- Population
- Patients with acute STEMI admitted to tertiary hospitals in different regions of China (August 2015-February 2019)patients with acute STEMI analysed · intervention group 2,452 · control group 4,365
- Participants
- 6,817 patients
- Comparison
- Integrated care model vs usual care
- Interventionn = 2,452
- Controln = 4,365
- Primary endpoint
- Proportion of patients receiving symptom-to-reperfusion within 12 hours
- Follow-up
- Between 2015 and 2019
Methodological detailsconsecutively enrolled, eight tertiary hospitals in different regions of China
- Consecutively enrolled
- Eight tertiary hospitals in different regions of China
Primary result
As reported in the abstract
Symptom-to-reperfusion within 12 hours, intervention group, increase
from 65.3% to 91.4%
Further findings
| Outcome | P value |
|---|---|
| In-hospital mortality and major adverse cardiac eventsIntervention group vs control group · nearly onefold decrease in the intervention group | P < 0.001 |
Symptom-to-admission within 12 hours · Between 2015 and 2019
- Intervention group, increase
- from 74.2% to 96.4%
- Ptrend=0.015
Door-to-balloon time within 90 min
- No significant difference among the two groups; adjusted relative risk
- 0.96, 95% CI: 0.89 to 1.02; p=0.18
Baseline characteristics
- Age (mean±SD)
- 61±13 years
- Female
- n=1242 (18.2%)
Original publication
Effect of an integrated care model on ST-segment elevation myocardial infarction management in China: a prospective, multicentre, non-randomised controlled study. Heart. Published 9 September 2025. doi:10.
Summarised from the published abstract; every number is checked against it