Improvement in door-to-balloon (D2B) time in acute st-elevation myocardial infarction through the D2B alliance - Experience of 15 primary percutaneous coronary intervention centers in Taiwan

Su Kiat Chua, Jun Jack Cheng, Kou Gi Shyu, Jen Yuan Kuo, Yu Lin Ko, Chun Chieh Wang, Kuan Cheng Chang, Po Ming Ku, Shih Huang Lee

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 languageEnglish
Pages (from-to)383-389
Number of pages7
JournalCirculation Journal
Volume77
Issue number2
DOIs
Publication statusPublished - 2013

Keywords

  • Acute myocardial infarction
  • Door-to-balloon time
  • National registries
  • Quality improvement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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