Early Diagnosis of Acute Myocardial Infarction: Impact of an Educational and Organizational Intervention

Not Applicable

• Conditions: STEMI; Myocardial Infarction; Education; Nurses; Emergency Room
• Interventions: Other: Educational and organizational intervention; Other: Common Practice

• Registration Number: NCT04333381
• Lead Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Brief Summary

The hypothesis is that an educational program aimed at emergency nurses and the implementation of measures at the organizational level reduce the time between arrival at the emergency room and the opening of the artery or balloon by 40% in patients attending for acute myocardial infarction.

Detailed Description

The time between arrival in the emergency room (ER) and balloon time (D2B) in ST segment elevation myocardial infarction (STEMI) is one of the best indicators of quality care in patients with STEMI. Hospitals with more strategies to improve this quality of care have a shorter door-to-balloon time. The aim is to evaluate the effectiveness, in the time between the arrival in the ER and the balloon time, of an educational and organizational intervention for the early diagnosis of myocardial infarction for emergency nurses.

The aim of this study is to improve the time between arrival to ER and balloon time.

The study consists of two phases:

Phase I (PRE): in this phase, the aim is to describe the attendance times and to evaluate the causes of delay in attendance in STEMI patients. With the findings, a plan will be drawn up that includes the integration of an educational program for emergency nurses and organizational measures; oriented to improve the early diagnosis and delays in STEMI.

Phase II (POST): in this phase, the aim is to evaluate the effectiveness in improving delays in the care of patients with STEMI after the implementation of the educational and organizational intervention developed in phase 1. On the other hand, will evaluate the satisfaction of the emergency nurses with the training they received through educational and organizational intervention.

Study Timeline

• Study Start: 2019-07-01
• Study First Submitted: 2020-03-24
• Status Verified: 2020-04
• Study First Submitted QC: 2020-04-01
• Last Update Submitted: 2020-04-01
• Study First Posted: 2020-04-03
• Last Update Posted: 2020-04-03
• Primary Completion: 2022-07-01
• Study Completion: 2022-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 450

Inclusion Criteria

• Patients ≥18 years
• Admitted to the emergency room of the same center

Exclusion Criteria

• Pregnant women
• Patients who did not receive coronariography were excluded

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Educational and organizational measures	Educational and organizational intervention	Patients included in the phase II will be attended by emergency nurses that received the educational and organizational intervention.
Common Practice	Common Practice	Patients included in the phase I will receive common practice.

Primary Outcome Measures

Name	Time	Method
Door-to-balloon time (D2B)	up to 30 days; From the arrival at the emergency room to the balloon time up to discharge	The time between arrival at the emergency room (ER) and balloon time (D2B) in STEMI

Secondary Outcome Measures

Name	Time	Method
ER arrival-ECG time	up to 30 days; from the arrival at the emergency department to the ECG realization up to discharge	The time between the arrival at the emergency department and the ECG.

Trial Locations

Locations (1)

FGS Hospital de la Santa Creu i Sant Pau; 🇪🇸 Barcelona, Spain