Early Diagnosis of Acute Myocardial Infarction: Impact of an Educational and Organizational Intervention
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 450
- 试验地点
- 1
- 主要终点
- Door-to-balloon time (D2B)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients ≥18 years
- •Admitted to the emergency room of the same center
排除标准
- •Pregnant women
- •Patients who did not receive coronariography were excluded
研究组 & 干预措施
Common Practice
Patients included in the phase I will receive common practice.
干预措施: Common Practice (Other)
Educational and organizational measures
Patients included in the phase II will be attended by emergency nurses that received the educational and organizational intervention.
干预措施: Educational and organizational intervention (Other)
结局指标
主要结局
Door-to-balloon time (D2B)
时间窗: 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
次要结局
- ER arrival-ECG time(up to 30 days; from the arrival at the emergency department to the ECG realization up to discharge)