PMID- 37599539
OWN - NLM
STAT- MEDLINE
DCOM- 20240304
LR  - 20240304
IS  - 1878-6847 (Electronic)
IS  - 0924-6479 (Linking)
VI  - 35
IP  - 1
DP  - 2024
TI  - A collaborative approach to develop indicators for quality of care for ST segment 
      Elevation Myocardial Infarction in networks without coronary intervention: A 
      position paper.
PG  - 91-100
LID - 10.3233/JRS-220057 [doi]
AB  - BACKGROUND: Data about performance measures (PM) in patients with ST segment 
      Elevation Myocardial Infarction (STEMI) in low- and middle-income countries is 
      really scarce. One of the reasons is the lack of appropriate measures for these 
      scenarios where coronary intervention is not the standard treatment. OBJECTIVE: 
      This study aimed to develop a set of PM and quality markers for patients with 
      STEMI in these countries. METHODS: Two investigators systematically reviewed 
      existing guidelines and scientific literature to identify potential PM by 
      referring to documents searched through PubMed from 2010 through 2019, using 
      terms "Myocardial Infarction", "STEMI", "quality indicator", and "performance 
      measure". A modified Delphi technique, involving multidisciplinary panel 
      interview, was used. A 15-member multidisciplinary expert panel individually 
      rated each potential indicator on a scale of 1 (lowest) to 5 (highest) during 
      three rounds. All indicators that received a median score >/=4.5, in final round 
      without significant disagreement were included as PM. RESULTS: Through the 
      consensus-building process, 84 potential indicators were found, of which 10 were 
      proposed as performance measures and 2 as quality metrics, as follows: 
      Pre-Hospital Electrocardiogram; Patients with reperfusion therapy; Pre-hospital 
      Reperfusion; Ischemic time less than 120 minutes; System delay time less than 90 
      minutes; In-hospital Mortality; Complete in-hospital Treatment; Complete 
      in-hospital Treatment in patients with Heart Failure; 30 day-Re-admissions; 30 
      day-mortality; Patients with in-hospital stress test performed; and, Patients 
      included in rehabilitation programs. CONCLUSION: This document provides the 
      official set of PM of attention in ST segment Elevation Myocardial Infarction of 
      the Cuban Society of Cardiology and Cuban National Group of Cardiology.
FAU - Rodriguez-Ramos, Miguel Alejandro
AU  - Rodriguez-Ramos MA
AD  - Cardiology Department, General Hospital "Camilo Cienfuegos", Sancti-Spiritus, 
      Cuba.
FAU - Santos-Medina, Maikel
AU  - Santos-Medina M
AD  - Cardiology Department, General Hospital "Ernesto Guevara", Las Tunas, Cuba.
FAU - Duenas-Herrera, Alfredo
AU  - Duenas-Herrera A
AD  - Department of Preventive Cardiology, Institute of Cardiology and Cardiovascular 
      Surgery, Havana, Cuba.
FAU - Prohias Martinez, Juan Adolfo
AU  - Prohias Martinez JA
AD  - Echocardiography Department, Hospital Hermanos Ameijeiras, Havana, Cuba.
FAU - Rivas-Estany, Eduardo
AU  - Rivas-Estany E
AD  - Department of Preventive Cardiology, Institute of Cardiology and Cardiovascular 
      Surgery, Havana, Cuba.
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Int J Risk Saf Med
JT  - The International journal of risk & safety in medicine
JID - 9100907
SB  - IM
MH  - Humans
MH  - *ST Elevation Myocardial Infarction/diagnosis/therapy
MH  - Heart
MH  - *Heart Failure
MH  - Electrocardiography
MH  - Benchmarking
OTO - NOTNLM
OT  - Cuba
OT  - Performance measures
OT  - STEMI
OT  - low- and middle-income countries
OT  - quality markers
EDAT- 2023/08/21 06:43
MHDA- 2024/03/04 06:44
CRDT- 2023/08/21 03:09
PHST- 2024/03/04 06:44 [medline]
PHST- 2023/08/21 06:43 [pubmed]
PHST- 2023/08/21 03:09 [entrez]
AID - JRS220057 [pii]
AID - 10.3233/JRS-220057 [doi]
PST - ppublish
SO  - Int J Risk Saf Med. 2024;35(1):91-100. doi: 10.3233/JRS-220057.