Dose Reducing Door-to-balloon Time in ST-elevation Myocardial Infarction Cause Less Cost?

Completed

• Conditions: Acute STEMI; Primary Percutaneous Coronary Arterial Intervention

• Registration Number: NCT01545206
• Lead Sponsor: Far Eastern Memorial Hospital

Brief Summary

The investigators tried to determined whether the less D2B time led to costs savings benefited insurance payer and better outcomes to patients.

Detailed Description

The relationship between the quality of care and costs has been discussed widely. Higher costs of care did not bring better outcomes, vice versa. However, as the rising spending of health care, the health care providers, insurance payers, governments, and consumers begin to pursue the higher quality of cares with lowest costs. In surgical experiences, improving the process of care succeeded to improve the quality of care and reduce the costs.

In patients with acute ST-Segment elevation myocardial infarction (STEMI), A Door-to-Balloon (D2B) time of less than 90 minutes has been established as the gold standard for primary percutaneous coronary intervention (PCI) and was associated with lower in-hospital mortality.9 Only less literatures discussed the costs and the quality of care in acute STEMI, and whether improving processes of care associated with lower costs was still controversial. The Premier Hospital Quality Incentive Demonstration (PHQID) in United State improved the processes of care but had not a significant effect on cost. Another single hospital experience in Indiana, USA, showed that the reducing D2B time in STEMI decreased the insurance payments as well as the total hospital costs. However, this study design was before-and-after intervention analysis, did not actually measure the impact of D2B time. Besides, the payment system in this study was prospective payment, not fee-for-service payment in Taiwan.

In this study, we tried to determined whether the less D2B time led to costs savings benefited insurance payer and better outcomes to patients.

Study Timeline

• Study Start: 1997-02
• Primary Completion: 2010-07
• Study Completion: 2010-07
• Status Verified: 2012-03
• Study First Submitted: 2012-03-01
• Study First Submitted QC: 2012-03-05
• Last Update Submitted: 2012-03-05
• Study First Posted: 2012-03-06
• Last Update Posted: 2012-03-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 215

Inclusion Criteria

• self visit
• acute STEMI by ECG definition

Exclusion Criteria

• non-diagnosis on first ECG
• transferred
• diagnostic angiogram only

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Trial Locations

Locations (1)

Far Eastern Memorial Hospital; 🇨🇳 Taipei, Taiwan