China STEMI Care Project Phase 2
试验速览
- 阶段
- 不适用
- 入组人数
- 18,000
- 试验地点
- 1
- 主要终点
- 1-year on time follow-up ratio
研究概览
简要总结
The program is to improve STEMI medical care quality in China. With the documents issued by National Health and Family Planning Commission of the People's Republic of China, the program was initialed in at least 200 primary PCI capable hospitals together with hundreds of adjacent non-primary PCI capable hospitals in 15 provinces. STEMI patients with symptom onset within 30 days will be enrolled in 3 periods. In each period with 6-month interval, 30 patients will be enrolled consecutively from each PCI-capable center initially and from non-primary PCI capable hospitals later, thus at least 18,000 STEMI patients from primary PCI capable hospitals will be enrolled and all of them will be followed up for 1 year. Key performance indicators (KPIs) in STEMI care will be collected using both national PCI online registry and a program STEMI online registry database for the purpose of improvement of medical care. Hospital KPIs rank report and problem-based resolution will be feedback to each hospital after data analysis in each period. Comparison of every two cross-sectional data (self) and within one cross-sectional (inter-hospital) data will be used to evaluate the improvement of medical quality.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •STEMI patients with symptom onset within 30 days
排除标准
- 未提供
结局指标
主要结局
1-year on time follow-up ratio
时间窗: 1 year
Usage of both DAPT, statin, β blocker and ACEI/ARB in patients without contraindication
时间窗: 3 yeras
DAPT means dual antiplatelet therapy
Hospital admission via ambulance ratio
时间窗: 2 years
Bypass ED ratio in patients with symptom onset within 12 hours
时间窗: 12 hours
Door-to-ballnoon time in patients with symptom onset within 12 hours
时间窗: 12 hours
Door-to-ballnoon time is the key index to evaluate treatment of primary PCI
Door-to-needle time in patients with symptom onset within 12 hours
时间窗: 12 hours
Door-to-needle time is the key index to evaluate treatment of thrombolysis
Symptom onset to arrive in hospital
时间窗: 2 years
In-hospital morbidity
时间窗: 2 yeras
Referfusion ratio in patients with symptom onset within 12 hours
时间窗: 12 hours
Referfusion including primary PCI and thrombolysis is the key strategy in STEMI care
次要结局
未报告次要终点
研究者
Yong Huo
Director, Department of Cardiology
Peking University First Hospital
