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 |
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| container_title | Circulation Journal |
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| creator | 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 |
| description | 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 |
| doi_str_mv | 10.1253/circj.CJ-12-0646 |
| format | Article |
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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<0.001) from those at baseline. By the end of the year-long study, the percentage of patients treated under 90min had increased from 46.2% to 80.1% in the hospitals enrolled in the D2B Alliance. Conclusions: Over the 1 year, hospitals enrolled in the D2B Alliance achieved the goal of reducing the D2B times of 75% of STEMI patients to less than 90min. (Circ J 2013; 77: 383–389)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-12-0646</identifier><identifier>PMID: 23131722</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject><![CDATA[Acute myocardial infarction ; Angioplasty, Balloon, Coronary ; Door-to-balloon time ; Electrocardiography ; Emergency Medical Services - standards ; Emergency Medical Services - statistics & numerical data ; Hospitals - standards ; Hospitals - statistics & numerical data ; Humans ; Longitudinal Studies ; Myocardial Infarction - diagnosis ; Myocardial Infarction - epidemiology ; Myocardial Infarction - therapy ; National registries ; Prospective Studies ; Quality improvement ; Quality Improvement - statistics & numerical data ; Registries - statistics & numerical data ; Rural Population - statistics & numerical data ; Taiwan - epidemiology ; Time-to-Treatment - standards ; Time-to-Treatment - statistics & numerical data ; Urban Population - statistics & numerical data]]></subject><ispartof>Circulation Journal, 2013, Vol.77(2), pp.383-389</ispartof><rights>2013 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23131722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chua, Su-Kiat</creatorcontrib><creatorcontrib>Cheng, Jun-Jack</creatorcontrib><creatorcontrib>Shyu, Kou-Gi</creatorcontrib><creatorcontrib>Kuo, Jen-Yuan</creatorcontrib><creatorcontrib>Ko, Yu-Lin</creatorcontrib><creatorcontrib>Wang, Chun-Chieh</creatorcontrib><creatorcontrib>Chang, Kuan-Cheng</creatorcontrib><creatorcontrib>Ku, Po-Ming</creatorcontrib><creatorcontrib>Lee, Shih-Huang</creatorcontrib><title>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</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>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<0.001) from those at baseline. By the end of the year-long study, the percentage of patients treated under 90min had increased from 46.2% to 80.1% in the hospitals enrolled in the D2B Alliance. Conclusions: Over the 1 year, hospitals enrolled in the D2B Alliance achieved the goal of reducing the D2B times of 75% of STEMI patients to less than 90min. (Circ J 2013; 77: 383–389)</description><subject>Acute myocardial infarction</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Door-to-balloon time</subject><subject>Electrocardiography</subject><subject>Emergency Medical Services - standards</subject><subject>Emergency Medical Services - statistics & numerical data</subject><subject>Hospitals - standards</subject><subject>Hospitals - statistics & numerical data</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Myocardial Infarction - therapy</subject><subject>National registries</subject><subject>Prospective Studies</subject><subject>Quality improvement</subject><subject>Quality Improvement - statistics & numerical data</subject><subject>Registries - statistics & numerical data</subject><subject>Rural Population - statistics & numerical data</subject><subject>Taiwan - epidemiology</subject><subject>Time-to-Treatment - standards</subject><subject>Time-to-Treatment - statistics & numerical data</subject><subject>Urban Population - statistics & numerical data</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1v3CAQhlHVqknT3nuqOKYHUgwYw3GzSdqNEuXQ7RlhPM6ywiYFHCn_vt6PJpcZGJ55JF6Evlb0omI1_-F8ctuL5S2pGKFSyHfotOKiIUIx-n5_lkQrwU_Qp5y3lDJNa_0RnTBe8aph7BSNq-EpxWcYYCzYj_gqxkRKJJc2hBhHfH7FLr_jtR9g97pwUwH8e02uAzzb4mfg_iU6mzpvA16NvU1uP11vUpweN7hsAM8GvAjB29HBZ_ShtyHDl2M_Q39urtfLX-Tu4edqubgjTghaSENr1bXUKkG1bFVHLZXaguLOWeFq0VnaKqYldEwrrUHKns5Vc8nbpu4lP0PnB-_8ub8T5GIGnx2EYEeIUzYVU0xxJRo-o_SAuhRzTtCbp-QHm15MRc0uZbNP2Sxv55vZpTyvfDvap3aA7nXhf6wzcHMAtrnYR3gFbCreBTgam8awXXkzvwEbmwyM_B_Z_ZEr</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Chua, Su-Kiat</creator><creator>Cheng, Jun-Jack</creator><creator>Shyu, Kou-Gi</creator><creator>Kuo, Jen-Yuan</creator><creator>Ko, Yu-Lin</creator><creator>Wang, Chun-Chieh</creator><creator>Chang, Kuan-Cheng</creator><creator>Ku, Po-Ming</creator><creator>Lee, Shih-Huang</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Improvement in Door-to-Balloon (D2B) Time in Acute ST-Elevation Myocardial Infarction Through the D2B Alliance</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-7058db0a84096b8d0a069ae83cca4c54da0b8296ed29899e66f09e69363b75f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acute myocardial infarction</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Door-to-balloon time</topic><topic>Electrocardiography</topic><topic>Emergency Medical Services - standards</topic><topic>Emergency Medical Services - statistics & numerical data</topic><topic>Hospitals - standards</topic><topic>Hospitals - statistics & numerical data</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Myocardial Infarction - therapy</topic><topic>National registries</topic><topic>Prospective Studies</topic><topic>Quality improvement</topic><topic>Quality Improvement - statistics & numerical data</topic><topic>Registries - statistics & numerical data</topic><topic>Rural Population - statistics & numerical data</topic><topic>Taiwan - epidemiology</topic><topic>Time-to-Treatment - standards</topic><topic>Time-to-Treatment - statistics & numerical data</topic><topic>Urban Population - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chua, Su-Kiat</creatorcontrib><creatorcontrib>Cheng, Jun-Jack</creatorcontrib><creatorcontrib>Shyu, Kou-Gi</creatorcontrib><creatorcontrib>Kuo, Jen-Yuan</creatorcontrib><creatorcontrib>Ko, Yu-Lin</creatorcontrib><creatorcontrib>Wang, Chun-Chieh</creatorcontrib><creatorcontrib>Chang, Kuan-Cheng</creatorcontrib><creatorcontrib>Ku, Po-Ming</creatorcontrib><creatorcontrib>Lee, Shih-Huang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chua, Su-Kiat</au><au>Cheng, Jun-Jack</au><au>Shyu, Kou-Gi</au><au>Kuo, Jen-Yuan</au><au>Ko, Yu-Lin</au><au>Wang, Chun-Chieh</au><au>Chang, Kuan-Cheng</au><au>Ku, Po-Ming</au><au>Lee, Shih-Huang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2013</date><risdate>2013</risdate><volume>77</volume><issue>2</issue><spage>383</spage><epage>389</epage><pages>383-389</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>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<0.001) from those at baseline. By the end of the year-long study, the percentage of patients treated under 90min had increased from 46.2% to 80.1% in the hospitals enrolled in the D2B Alliance. Conclusions: Over the 1 year, hospitals enrolled in the D2B Alliance achieved the goal of reducing the D2B times of 75% of STEMI patients to less than 90min. (Circ J 2013; 77: 383–389)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>23131722</pmid><doi>10.1253/circj.CJ-12-0646</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute myocardial infarction Angioplasty, Balloon, Coronary Door-to-balloon time Electrocardiography Emergency Medical Services - standards Emergency Medical Services - statistics & numerical data Hospitals - standards Hospitals - statistics & numerical data Humans Longitudinal Studies Myocardial Infarction - diagnosis Myocardial Infarction - epidemiology Myocardial Infarction - therapy National registries Prospective Studies Quality improvement Quality Improvement - statistics & numerical data Registries - statistics & numerical data Rural Population - statistics & numerical data Taiwan - epidemiology Time-to-Treatment - standards Time-to-Treatment - statistics & numerical data Urban Population - statistics & numerical data |
| title | 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 |
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