Study to Evaluate the Care Process and the Quality of STEMI Care

Study Overview
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Brief Summary
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Cardiovascular diseases, and more precisely patients with ST - elevated myocardial infarction are globally responsible for a large number of hospitalizations and deaths. Monitoring the quality of care for these patients is very relevant topic. Investigators developed indicators from the scientific literature on the quality of care for patients with STEMI at both the patient level and hospital level. The indicators were subsequently validated by a RAND modified Delphi - study of multidisciplinary experts in the care of patients with STEMI. In this study, the following objectives are set: ) Study of the quality of care for patients with STEMI in 16 Flemish hospitals with cardiology department by retrospective and prospective audit of 20 patient records per participating hospital . ) Study of the interdisciplinary relationships and communication within teams involved in the care of patients with STEMI in the participating hospitals 3) Study of perceived organization of care for patients with STEMI in the participating hospitals In accordance with the objectives of the research, the study consists of three phases: ) A retrospective observational audit of 20 patient records of patients with STEMI each participating hospital. ) A prospective observational audit of 20 patient records of patients with STEMI each participating hospital. ) A survey using validated instruments of interdisciplinary relationships and communication on the one hand and on the other by the teams involved in the care of patients with STEMI perceived organization of care . Data collection is performed by local researchers and remains their property. The data is coded and kept confidential. Only the local researcher has access to the encryption key. The data are protected by the Belgian law on privacy and medical confidentiality, only to be used in the context of this study. The results are published anonymously.

Official Title
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Study to Evaluate the Care Process and the Quality of Care for Adult Patients With ST Elevated Myocardial Infarction

Conditions
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Myocardial Infarction, Acute Coronary Syndrome

Intervention / Treatment
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* Other: implementation of care pathway


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients admitted with STEMI within 24 hours after symptom onset and eligible for reperfusion according to ESC STEMI guidelines Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Time 1<br>retrospective evaluation of patient record. no intervention | |
| Time 2<br>retrospective evaluation of patient record. no intervention | Other: implementation of care pathway<br>* implementation of a care pathway<br>|
| Time 3<br>retrospective evaluation of patient record. no intervention | Other: implementation of care pathway<br>* implementation of a care pathway<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| performance on quality indicators at patient level as defined by the CP4ACS Delphi Study to Determine Appropriateness of STEMI Quality Indicators in Belgium (NCT02030210) | This study evaluates quality indicators at patient level as defined by the CP4ACS Delphi Study to Determine Appropriateness of STEMI Quality Indicators in Belgium. The study is limited to the period in which the patients are hospitalized; No data is gathered before or after hospitalization. | through study completion, an average of 1 year | 
| performance on quality indicators at hospital level as defined by the CP4ACS Delphi Study to Determine Appropriateness of STEMI Quality Indicators in Belgium (NCT02030210) | This study evaluates quality indicators at hospital level as defined by the CP4ACS Delphi Study to Determine Appropriateness of STEMI Quality Indicators in Belgium. The study is limited to the period in which the patients are hospitalized. No data is gathered before or after hospitalization. | through study completion, an average of 1 year |