Hospital Strategies for Reducing Door-to-Balloon Time in STEMI Patients
Author Information
Author(s): Elizabeth H. Bradley, Brahmajee K. Nallamothu, Amy F. Stern, Jason R. Byrd, Emily J. Cherlin, Yongfei Wang, Christina Yuan, Ingrid Nembhard, John E. Brush Jr., Harlan M. Krumholz
Primary Institution: Yale University School of Medicine
Hypothesis
What are the key hospital characteristics associated with the use of evidence-based strategies to reduce door-to-balloon time in STEMI patients?
Conclusion
Many hospitals had implemented few of the key strategies to reduce door-to-balloon time, suggesting substantial opportunity to improve care for patients with STEMI.
Supporting Evidence
- Only 30.4% of hospitals reported employing at least 4 of the 5 key strategies.
- 9.3% of hospitals employed none of the strategies.
- Emergency medicine activation of the catheterization laboratory was reported by about half of hospitals.
Takeaway
This study found that most hospitals are not using important strategies to help heart attack patients get treatment faster, which means there's a lot of room for improvement.
Methodology
A cross-sectional study using a Web-based survey of U.S. hospitals that joined the D2B Alliance.
Potential Biases
Self-reporting may bias the prevalence data upwards.
Limitations
Data were self-reported, which may overestimate the true use of strategies, and the study did not examine hospitals outside the D2B Alliance.
Participant Demographics
Hospitals varied in size, ownership type, and teaching status, with a mean of 376 staffed beds.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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