인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
<h2>Abstract</h2><h3>Background</h3> The prevalence and case fatality of ischemic heart disease in India has increased over the past 2 decades. ST-segment elevation myocardial infarction (STEMI) accounts for up to 60% of all myocardial infarctions in India, with only 25% to 40% of patients undergoing primary percutaneous coronary intervention (PPCI). A national access gap persists in India that needs to be bridged with the implementation of in-hospital processes and regional systems of collaborative care. <h3>Methods</h3> The single-center, observational, retrospective Myocardial Infarction Delhi Primary Angioplasty Study (MIDAS) was conducted at Max Super Specialty Hospital (New Delhi, India) between January 1, 2015, and December 31, 2019. All patients presenting to the emergency department with ongoing chest discomfort suggestive of ischemia and ST elevation on electrocardiogram were included. PPCI, initiated by a "CODE STEMI" team activation call, was employed as a single reperfusion strategy to treat all patients and minimize system delays. Systematic data collection of door-to-balloon (D2B) time regular audit, feedback, and multidisciplinary team engagement was implemented to refine processes and improve efficiency. The consistency of the process in maintaining D2B time during day and night hours, as well as on weekends and holidays was evaluated. Data from the electronic health record were collected and summarized to evaluate the impact of processes on in-hospital patient outcomes. <h3>Results</h3> A total of 887 patients meeting eligibility criteria were included in the analysis, of whom 45.2% were admitted during off hours, weekends, or holidays, and 92.3% underwent PPCI, 2.8% underwent PPCI followed by CABG, 1.8% underwent CABG, and 2.6% required medical therapy. The median D2B was 51 minutes (interquartile range, 40-60 minutes), and on holidays the mean D2B was 55 minutes (interquartile range, 40-75 minutes). The overall mortality was 5.2%. <h3>Conclusions</h3> This study demonstrates that implementing a team-based standardized protocol can achieve guideline-recommended D2B times in a diverse STEMI population presenting to a percutaneous coronary intervention–capable hospital. Protocols reduce variation in care and enable the delivery of equitable high-quality care consistently across diverse demographic groups.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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