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 90 min 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±42.9 min vs. 83.2±16.2 min; P
Original language | English |
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Pages (from-to) | 383-389 |
Number of pages | 7 |
Journal | Circulation Journal |
Volume | 77 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2013 |
Keywords
- Acute myocardial infarction
- Door-to-balloon time
- National registries
- Quality improvement
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine