Background
Methods
Study design
Variables of interest and STEMI management
Events of interest
Statistical analysis
Results
Pre-network
N = 670 | Post-network
N = 598 |
P value | |
---|---|---|---|
Age* (SD) | 62.6 (13.6) | 63.6 (13.1) | 0.189 |
Men | 76.1% | 75.7% | 0.929 |
Smoker | 41.0% | 48.0% | 0.029 |
Hypertension | 51.9% | 57.3% | 0.062 |
Dyslipidaemia | 47.4% | 50.7% | 0.267 |
Diabetes mellitus | 26.9% | 23.9% | 0.001 |
Peripheral vascular disease | 4.9% | 8.6% | 0.013 |
Family history of CAD | 11.2% | 10.8% | 0.789 |
Previous AMI | 10.7% | 11.2% | 0.865 |
Killip III-IV at admission | 10.3% | 8.3% | 0.075 |
STEMI management
Drugs | Pre-network
N = 670 | Post-network
N = 598 |
P value |
---|---|---|---|
Aspirin | 96.6% | 99.3% | 0.001 |
Clopidogrel | 54.3% | 79.9% | <0.001 |
Ticagrelor | ---- | 27.9% | ---- |
Prasugrel | ---- | 3.3% | ---- |
GP IIb/IIIa Inhibitors | 16.1% | 13.1% | 0.252 |
Heparin | 82.1% | 93.9% | <0.001 |
Betablockers | 69.3% | 81.2% | <0.001 |
Statins | 89.7% | 98.0% | <0.001 |
ACE inhibitors | 70.1% | 77.8% | 0.003 |
Nitroglicerin | 40.6% | 37.2% | 0.241 |
Eplerenone | ----- | 17.9% | ----- |
Mecanichal ventilation | 8.5% | 8.0% | 0.870 |
Echocardiogram | 40.3% | 56.0% | <0.001 |
Coronary angiography | 55.2% | 99.5% | <0.001 |
IABP | 4.8% | 4.1% | 0.680 |
Swan-Ganz cathether | 7.8% | 5.1% | 0.080 |
Reperfusion | 64.4% | 89.2% | <0.001 |
PPCI | 43.9% | 99.0% | <0.001 |
Thrombolysis | 56.1% | 1.0% | <0.001 |
In-hospital prognosis
Pre-network
N = 670 | Post-network
N = 598 |
P value | |
---|---|---|---|
Reinfarction | 2.5% | 1.5% | 0.450 |
Ventricular fibrillation | 4.5% | 5.8% | 0.327 |
Complete AV block | 8.7% | 5.5% | 0.040 |
Flutter/Atrial fibrillation | 6.3% | 4.5% | 0.211 |
Septal rupture | 1.2% | 0.7% | 0.501 |
Papillar muscle rupture | 0.7% | 0.5% | 0.729 |
Free wall rupture | 0.7% | 0.7% | 1.000 |
Killip -Maximum, III-IV | 13.7% | 11.6% | 0.349 |
In-hospital mortality | 7.16% | 2.51% | <0.001 |
Pre-network
N = 670 | Post-network
N = 598 |
P value | |
---|---|---|---|
OR (CI 95%) | |||
Model 1 | 1 | 0.45 (0.15; 1.37) | 0.160 |
Model 2 | 1 | 0.48 (0.16; 1.49) | 0.207 |
Model 3 | 1 | 0.59 (0.18; 1.95) | 0.385 |
Model 4a | 1 | 0.57 (0.16; 1.97) | 0.375 |
Model 4b | 1 | 0.50 (0.16; 1.59) | 0.239 |
Model 5 | 1 | 1.19 (0.30; 4.76) | 0.805 |
Model 6 | 1 | 1.14 (0.32; 4.08) | 0.840 |