Randomized Trial of Aggressive Process of Care Quality Improvement Intervention to Decrease Door to Balloon Time in Primary PCI for Acute Myocardial Infarction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- STEMI
- Sponsor
- University of Michigan
- Enrollment
- 882
- Locations
- 1
- Primary Endpoint
- Percentage of Sites With Reduction in Door to Balloon Time
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The primary objective of this study is to assess whether an aggressive quality improvement intervention strategy will decrease time from hospital presentation to first balloon inflation in non-transfer patients with acute ST segment elevation MI (STEMI) treated with primary percutaneous coronary intervention (PCI). Twelve hospitals in Michigan were randomized to either aggressive intervention or control. The intervention consisted of Grand Rounds at each hospital, sharing of best practices, and coordinating center staff working closely with staff at each intervention hospital to discuss solutions to barriers to rapid treatment for STEMI patients.
Detailed Description
The participating hospitals randomized to the aggressive intervention strategy actively worked to create teams to analyze processes of care for STEMI patients, identify areas needing improvement, and implemented strategies to streamline treatment. Hospitals randomized to control were instructed to conduct "business as usual".
Investigators
Eva Kline-Rogers
Study Coordinator
University of Michigan
Eligibility Criteria
Inclusion Criteria
- •Acute ST segment myocardial infarction, non transfer patients, with symptom onset to balloon time less than or equal to 24 hours.
Exclusion Criteria
- •Patients transferred from one facility to another,
- •non ST segment myocardial infarction patients.
Outcomes
Primary Outcomes
Percentage of Sites With Reduction in Door to Balloon Time
Time Frame: Arrival to balloon inflation, measured in minutes (generally less than 120 mins)
Arrival time in Emergency Department to first balloon inflation in the coronary artery. Any reduction in median Door to Balloon Time from baseline to follow-up was counted as reduction in time