Study of Systematic Data Feedback to Improve Treatment and Survival in Patients with ST-Elevation Myocardial Infarction STEMI

What this Trial Is About

Researchers are evaluating whether formalized data assessment and systematic feedback can improve treatment times and survival rates for patients with ST-segment elevation myocardial infarction STEMI. The study focuses on reducing time intervals from patient contact to balloon inflation during percutaneous coronary intervention PCI and aims to enhance outcomes through continuous performance feedback in a multicenter setting. This project is structured in multiple phases to test, implement, and advance these feedback methods across various hospitals with PCI capability. The study includes a behavioral intervention where data on treatment times and clinical outcomes are collected and analyzed quarterly. These results are shared with cardiology, emergency department, and emergency medical services staff in interactive sessions to identify and address areas for improvement. The trial spans several phases an initial pilot phase, an implementation phase involving multiple centers, and an advanced phase developing an automated, standardized feedback tool. Feedback sessions occur quarterly or annually depending on the phase. Participants are all patients diagnosed with STEMI and transferred to PCI centers for treatment. The study collects web-based data on time from first medical contact to balloon inflation over consecutive three-month periods. Researchers measure treatment times as the primary outcome and mortality rates at hospital discharge, 30 days, and one year as secondary outcomes. The study involves repeated data feedback sessions to hospital and emergency staff and aims to monitor and improve care quality over time through systematic evaluation.

Feedback Intervention and Treatment Times in ST- Elevation Myocardial Infarction