PMID- 33173358
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220418
IS  - 1179-1500 (Print)
IS  - 1179-1500 (Electronic)
IS  - 1179-1500 (Linking)
VI  - 12
DP  - 2020
TI  - CODE STEMI Program Improves Clinical Outcome in ST Elevation Myocardial 
      Infarction Patients: A Retrospective Cohort Study.
PG  - 315-321
LID - 10.2147/OAEM.S259155 [doi]
AB  - PURPOSE: One of the most frequent causes of cardiac mortality is ST elevation 
      myocardial infarction (STEMI). Delay in the management of STEMI patients is a 
      cause of high mortality and morbidity. This study aims to determine the effect of 
      the implementation of the CODE STEMI program on major adverse cardiac events 
      (MACE) and mortality of STEMI patients at Dr. Cipto Mangunkusumo General 
      Hospital. PATIENTS AND METHODS: This was a retrospective cohort study that 
      enrolled 207 STEMI patients who underwent primary percutaneous coronary 
      intervention (PPCI) in 2015-2018. The patients were divided into two groups. The 
      first group was treated prior to establishing the CODE STEMI program. The other 
      group was treated according to the program, which was implemented in January 
      2017. Data were collected from medical records, and we retrospectively analyzed 
      all in-hours, MACE, and mortality of STEMI patients from both groups as primary 
      outcomes. Data analysis was done using the Mann-Whitney and chi-square test. 
      RESULTS: There were 72 and 135 patients in the pre-CODE STEMI and CODE STEMI 
      groups, respectively. D2BT was significantly reduced by 130 min (288+/-306 vs 
      158+/-81, P< 0.001) since the implementation of CODE STEMI program. There were 
      trends to lower in-hospital mortality rates (8.3% vs 4.4%, RR = 0.53) and MACE at 
      30 days (48.61% vs 37.78%, RR = 0.77). CONCLUSION: Implementation of the CODE 
      STEMI program can reduce door-to-balloon time and decrease the MACE and mortality 
      rate in STEMI patients in general hospitals.
CI  - (c) 2020 Ginanjar et al.
FAU - Ginanjar, Eka
AU  - Ginanjar E
AUID- ORCID: 0000-0002-5671-9167
AD  - Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, 
      Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
FAU - Sjaaf, Amal C
AU  - Sjaaf AC
AD  - Department of Health Policy and Administration, Faculty of Public Health, 
      Universitas Indonesia, Depok, West Java, Indonesia.
FAU - Alwi, Idrus
AU  - Alwi I
AD  - Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, 
      Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
FAU - Sulistyadi, Wahyu
AU  - Sulistyadi W
AD  - Department of Health Policy and Administration, Faculty of Public Health, 
      Universitas Indonesia, Depok, West Java, Indonesia.
FAU - Suryadarmawan, Ede
AU  - Suryadarmawan E
AD  - Department of Health Policy and Administration, Faculty of Public Health, 
      Universitas Indonesia, Depok, West Java, Indonesia.
FAU - Wibowo, Adik
AU  - Wibowo A
AD  - Department of Health Policy and Administration, Faculty of Public Health, 
      Universitas Indonesia, Depok, West Java, Indonesia.
FAU - Liastuti, Lies Dina
AU  - Liastuti LD
AUID- ORCID: 0000-0002-0489-3665
AD  - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas 
      Indonesia, Jakarta, Indonesia.
LA  - eng
PT  - Journal Article
DEP - 20201102
PL  - New Zealand
TA  - Open Access Emerg Med
JT  - Open access emergency medicine : OAEM
JID - 101570796
PMC - PMC7646377
OTO - NOTNLM
OT  - CODE STEMI
OT  - major adverse cardiac event
OT  - mortality
OT  - myocardial infarction
OT  - percutaneous coronary intervention
COIS- The authors report no conflicts of interest for this work.
EDAT- 2020/11/12 06:00
MHDA- 2020/11/12 06:01
PMCR- 2020/11/02
CRDT- 2020/11/11 05:57
PHST- 2020/04/21 00:00 [received]
PHST- 2020/10/08 00:00 [accepted]
PHST- 2020/11/11 05:57 [entrez]
PHST- 2020/11/12 06:00 [pubmed]
PHST- 2020/11/12 06:01 [medline]
PHST- 2020/11/02 00:00 [pmc-release]
AID - 259155 [pii]
AID - 10.2147/OAEM.S259155 [doi]
PST - epublish
SO  - Open Access Emerg Med. 2020 Nov 2;12:315-321. doi: 10.2147/OAEM.S259155. 
      eCollection 2020.