Impact of a Mobile, Cloud-Based Care-Coordination Platform on Door-to-Balloon Time in Patients With STEMI: Initial Results

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS CJC Open Pub Date : 2024-09-01 DOI:10.1016/j.cjco.2024.05.011

Ahmed Aldajani MD , Omar Chaabo MD , François Brouillette MD , Khalil Anchouche MD , Yasmine Lachance , Elie Akl MD , Sonny Dandona MD , Giuseppe Martucci MD , Jean-Philippe Pelletier MD , Nicolo Piazza MD, PhD , Jeremy Y. Levett MD , Tomer Moran HBSc , Marco Spaziano MD, MSc

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Abstract

Care-coordination platforms may optimize ST-elevation myocardial infarction (STEMI) treatment delays. This study aimed to assess the impact of Stenoa use on treatment delays in STEMI patients. We conducted a retrospective cohort study on local STEMI cases for the period between September 2020 and March 2023, comparing the times from first medical contact to device, before vs after the implementation of the Stenoa platform by the catheterization laboratory (cath-lab) and emergency department. A total of 180 patients were included. Significant reductions were found in times from first medical contact to electrocardiogram, from electrocardiogram to cath-lab activation, and from cath-lab activation to cath-lab arrival (P = 0.02, P = 0.04, and P = 0.02, respectively), after the platform was implemented. These findings suggest that use of Stenoa reduces STEMI door-to-balloon–time components.

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基于云的移动护理协调平台对 STEMI 患者 "门到气球 "时间的影响：初步结果

护理协调平台可优化ST段抬高型心肌梗死（STEMI）的治疗延迟。本研究旨在评估 STenoa 的使用对 STEMI 患者治疗延迟的影响。我们对 2020 年 9 月至 2023 年 3 月期间的当地 STEMI 病例进行了一项回顾性队列研究，比较了导管室（cath-lab）和急诊科实施 Stenoa 平台前后从首次医疗接触到设备的时间。共纳入 180 名患者。结果发现，在实施该平台后，从首次医疗接触到心电图检查、从心电图检查到导管室启动以及从导管室启动到导管室到达的时间均有显著缩短（分别为 P = 0.02、P = 0.04 和 P = 0.02）。这些研究结果表明，使用 Stenoa 缩短了 STEMI 门到气管插管时间。

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