Status:
COMPLETED
RUral dispaRities in prehospitAL STEMI
Lead Sponsor:
Wake Forest University Health Sciences
Conditions:
ST Elevation Myocardial Infarction
Cardiovascular Diseases
Eligibility:
All Genders
18+ years
Brief Summary
Rural Americans are more likely to be unhealthy, older, living in poverty, uninsured, and medically underserved. The CDC has made achieving health equity and improving cardiovascular health for rural ...
Detailed Description
Achieving PCI time goals is influenced by multiple factors, such as patient attributes, agency factors and elements of organizational Emergency Medical Services (EMS) culture. Organizational culture i...
Eligibility Criteria
Inclusion
- STEMI Registry:
- Inclusion:
- Age ≥ 18 years
- Transported to one of four primary PCI centers (Wake Forest Baptist Medical Center (WFBMC), High Point Regional Medical Center (HPRMC), Novant Forsyth Medical Center (FMC), and Moses Cone) by rural agency (county identified rural by 2014 Census) ambulance from 2016-2019
- STEMI identified prior to or upon arrival at hospital
- Exclusion:
- None
- Key Informant Interviews:
- Inclusion:
- Rural agency (county identified rural by 2014 Census)
- Identified as the top or bottom two performing services ranked by overall PCI time by regional STEMI registry patients transported to primary PCI center from 2016-2019
- Hold the position of EMS Director, EMS Medical Director, EMS Training Officer, Paramedic (2), EMT Crew Partner (2) or hold a similar key informant position at a local urban EMS agency (Forsyth county EMS) to allow the interview guide to be field-tested
- Exclusion:
- None
- Stakeholder Survey:
- Inclusion:
- Rural agency (county identified rural by 2014 Census) transported to primary PCI center from 2016-2019
- Hold the position of EMS Director, EMS Medical Director, or EMS Training Officer or be a field provider with a Paramedic or EMT certification
- Exclusion:
- None
Exclusion
Key Trial Info
Start Date :
December 15 2020
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
June 2 2022
Estimated Enrollment :
473 Patients enrolled
Trial Details
Trial ID
NCT04381260
Start Date
December 15 2020
End Date
June 2 2022
Last Update
March 27 2024
Active Locations (1)
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1
Wake Forest University Health Sciences
Winston-Salem, North Carolina, United States, 27157