Abstract 274: Root Cause Analysis of Deaths in ST Elevation Myocardial Infarctions: What Can We Do Better?
| Autor: | Fredy H El Sakr, Mohamad Kenaan, Daniel Menees, Brahmajee Nallamothu, Hitinder Gurm |
|---|---|
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 8 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.8.suppl_2.274 |
| Popis: | Background: Improving quality of care for patients presenting with ST elevation Myocardial infarctions (STEMI) is a national priority. However, recent data demonstrate that mortality has not changed despite numerous targeted efforts. Identifying potential areas in care that can be further optimized to decrease mortality remains a priority. Methods: We performed a root cause analysis of all patients who died following primary PCI during index hospitalization from 2008 to 2013 at the University of Michigan (n=25 deaths). Using a standardized data collection form, two interventional cardiologists reviewed patient care received prior to arrival to the catheterization lab, while in the catheterization lab, and after primary PCI to determine cause of death and to rate potential preventability of death on a Likert scale. Results: Majority of deaths were deemed unpreventable. Symptom-onset-to-medical care time was rated as the most common potentially preventable factor. Conclusion: Mortality following primary PCI was deemed mostly unpreventable. However, improvement in total ischemic time, and in particular symptom-onset to-medical care, was identified as one potential target that might be of value in further reducing the mortality associated with STEMI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|