Implementation of STEMI Communication Network System in Malang to Accelerate Door-to-Balloon Times

DOI

10.2991/978-94-6463-525-6_7How to use a DOI?

Keywords

STEMI; networking system; door to balloon; MACE

Abstract

Patient delay is a worldwide unsolved problem in ST-segment elevated myocardial infarction (STEMI). An accurate networking system will provide delightful reperfusion management and better outcomes. To implement STEMI communication network system among Saiful Anwar General Hospital with all of the Public Health Centers (PHC) around Malang region to shorten the door to balloon times and reduce MACE. A retrospective cohort study enrolled 184 consecutive patients with STEMI. 96 were non network and 88 network patients. Statistical tests using SPSS version 20.0 software. The mean ± SD door-to-balloon (D2B) time was significantly shortened from 270,5±128 minutes to 193±85 minutes (P=0.026). Multivariate analysis without confounder showed that the network-group had significantly shorter door-to-reperfusion time (p=0.032) and lower MACE (p=0.01) compared to the non-network group. But multivariate analysis with confounder door-to-balloon and door-to-needle failed to explain lower MACE incidence. Network-group (p=0.005) and reperfusion with primary PCI (p=0.05) significantly decreased MACE incidence. Although the percentage is less than 50%, a significant increase in the percentage of D2B times less than 90 minutes in the network group vs the non network group with 18.5% vs 5.2% (P=.097). Implementation of the STEMI communication network system in Malang significantly reduced the D2B time, although the corresponding increase in the percentage of D2B times less than 90 minutes is not yet achieved. It also reduced MACE in STEMI patients undergoing primary PCI.

Copyright

© 2024 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Astrid Pramudya
AU  - Mohammad Saifur Rohman
PY  - 2024
DA  - 2024/10/29
TI  - Implementation of STEMI Communication Network System in Malang to Accelerate Door-to-Balloon Times
BT  - Proceedings of the 2023 Brawijaya International Conference (BIC 2023)
PB  - Atlantis Press
SP  - 61
EP  - 66
SN  - 2352-5428
UR  - https://doi.org/10.2991/978-94-6463-525-6_7
DO  - 10.2991/978-94-6463-525-6_7
ID  - Pramudya2024
ER  -