Early Diagnosis of Acute Myocardial Infarction: Impact of an Educational and Organizational Intervention
1 other identifier
interventional
450
1 country
1
Brief Summary
The hypothesis is that an educational program aimed at emergency nurses and the implementation of measures at the organizational level reduce the time between arrival at the emergency room and the opening of the artery or balloon by 40% in patients attending for acute myocardial infarction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2019
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2019
CompletedFirst Submitted
Initial submission to the registry
March 24, 2020
CompletedFirst Posted
Study publicly available on registry
April 3, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedApril 3, 2020
April 1, 2020
3 years
March 24, 2020
April 1, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Door-to-balloon time (D2B)
The time between arrival at the emergency room (ER) and balloon time (D2B) in STEMI
up to 30 days; From the arrival at the emergency room to the balloon time up to discharge
Secondary Outcomes (1)
ER arrival-ECG time
up to 30 days; from the arrival at the emergency department to the ECG realization up to discharge
Study Arms (2)
Common Practice
ACTIVE COMPARATORPatients included in the phase I will receive common practice.
Educational and organizational measures
EXPERIMENTALPatients included in the phase II will be attended by emergency nurses that received the educational and organizational intervention.
Interventions
Patients included after a systematic educational and organizational intervention for early diagnosis and care in myocardial infarction, aimed at emergency nurses of a tertiary Hospital capable in primary PCI. 1. The educational intervention will consist: Systematized educational intervention on acute myocardial infarction for emergency triage nurses will consist of theoretical and practical training through case presentations and clinical simulation. 2. The organizational intervention will consist: * Development and dissemination of an early diagnostic tool for acute myocardial infarction: STEMI infographics. It will be provided to all emergency nurses and emergency triage boxes * Update the STEMI hospital protocol and adapt it to the current clinical guidelines of the European Society of Cardiology (ESC) * Review organizational strategies and definition of new improvement measures * Audit the delays in STEMI * Periodic multi-disciplinary update sessions
Common practice is based on care by emergency nurses who did not receive any systematized education of acute myocardial infarction led by interventional cardiology nurses. On the other hand, emergency management is based on Plan-Do-Study-Act methodology and in the historical sample some organizational improvement strategies did not exist or were beginning to be implemented
Eligibility Criteria
You may qualify if:
- Patients ≥18 years
- Admitted to the emergency room of the same center
You may not qualify if:
- Pregnant women
- Patients who did not receive coronariography were excluded
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
FGS Hospital de la Santa Creu i Sant Pau
Barcelona, 08041, Spain
Related Publications (2)
Berga Congost G, Martinez Momblan MA, Valverde Bernal J, Marquez Lopez A, Ruiz Gabalda J, Garcia-Picart J, Puig Campmany M, Brugaletta S. Association of sex and age and delay predictors on the time of primary angioplasty activation for myocardial infarction patients in an emergency department. Heart Lung. 2023 Mar-Apr;58:6-12. doi: 10.1016/j.hrtlng.2022.10.014. Epub 2022 Nov 3.
PMID: 36335910DERIVEDBerga Congost G, Brugaletta S, Valverde Bernal J, Marquez Lopez A, Ruiz Gabalda J, Garcia-Picart J, Puig Campmany M, Martinez Momblan MA. The importance of organizational variables in treatment time for patients with ST-elevation acute myocardial infarction improve delays in STEMI. Australas Emerg Care. 2021 Jun;24(2):141-146. doi: 10.1016/j.auec.2020.10.001. Epub 2020 Nov 14.
PMID: 33199195DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 24, 2020
First Posted
April 3, 2020
Study Start
July 1, 2019
Primary Completion
July 1, 2022
Study Completion
December 31, 2022
Last Updated
April 3, 2020
Record last verified: 2020-04