Improvement in Door-to-Balloon (D2B) Time in Acute ST-Elevation Myocardial Infarction Through the D2B Alliance: Experience of 15 Primary Percutaneous Coronary Intervention Centers in Taiwan

Background: Currently, the door-to-balloon (D2B) times observed in clinical practice in Taiwan are different from those recommended by evidence-based guidelines. D2B Alliance, a countrywide initiative for quality supported by the Taiwan Joint Commission on Hospital Accreditation, sought to achieve t...

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Veröffentlicht in:Circulation Journal 2013, Vol.77(2), pp.383-389
Hauptverfasser: Chua, Su-Kiat, Cheng, Jun-Jack, Shyu, Kou-Gi, Kuo, Jen-Yuan, Ko, Yu-Lin, Wang, Chun-Chieh, Chang, Kuan-Cheng, Ku, Po-Ming, Lee, Shih-Huang
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Sprache:eng
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Zusammenfassung:Background: Currently, the door-to-balloon (D2B) times observed in clinical practice in Taiwan are different from those recommended by evidence-based guidelines. D2B Alliance, a countrywide initiative for quality supported by the Taiwan Joint Commission on Hospital Accreditation, sought to achieve the goal of administering treatment to 75% of patients with ST-elevation myocardial infarction (STEMI) within 90min of hospital presentation. Methods and Results: The current study was designed to be prospective, national, and multicenter. We conducted a longitudinal study of the D2B times recorded in 15 primary percutaneous coronary intervention centers and examined the changes caused by implementing the D2B Alliance strategies. A total of 1,726 patients were enrolled in the D2B Alliance and implementation of the D2B Alliance strategies resulted in a significant decrease in the average D2B times (128.8±42.9min vs. 83.2±16.2min; P
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.CJ-12-0646