Early Diagnosis of Acute Myocardial Infarction: Impact of an Educational and Organizational Intervention

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Status: Unknown

Conditions: Education; Emergency Room; Myocardial Infarction; Nurses; STEMI

Treatments: Other: Common Practice; Other: Educational and organizational intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04333381

IIBSP-IAM-2015-84

Details and patient eligibility

About

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.

Full description

The time between arrival in the emergency room (ER) and balloon time (D2B) in ST segment elevation myocardial infarction (STEMI) is one of the best indicators of quality care in patients with STEMI. Hospitals with more strategies to improve this quality of care have a shorter door-to-balloon time. The aim is to evaluate the effectiveness, in the time between the arrival in the ER and the balloon time, of an educational and organizational intervention for the early diagnosis of myocardial infarction for emergency nurses.

The aim of this study is to improve the time between arrival to ER and balloon time.

The study consists of two phases:

Phase I (PRE): in this phase, the aim is to describe the attendance times and to evaluate the causes of delay in attendance in STEMI patients. With the findings, a plan will be drawn up that includes the integration of an educational program for emergency nurses and organizational measures; oriented to improve the early diagnosis and delays in STEMI.

Phase II (POST): in this phase, the aim is to evaluate the effectiveness in improving delays in the care of patients with STEMI after the implementation of the educational and organizational intervention developed in phase 1. On the other hand, will evaluate the satisfaction of the emergency nurses with the training they received through educational and organizational intervention.

Enrollment: 450 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients ≥18 years
• Admitted to the emergency room of the same center

Exclusion criteria

• Pregnant women
• Patients who did not receive coronariography were excluded

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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450 participants in 2 patient groups

Common Practice

Active Comparator group

Description:

Patients included in the phase I will receive common practice.

Treatment:

Other: Common Practice

Educational and organizational measures

Experimental group

Description:

Patients included in the phase II will be attended by emergency nurses that received the educational and organizational intervention.

Treatment:

Other: Educational and organizational intervention