reGional Network for Acute Myocardial Infarction (GAMI)

Guangdong Provincial People's Hospital (Guangdong Provincial Academy of Medical Sciences)

Status: Unknown

Conditions: Coronary Heart Disease; STEMI - ST Elevation Myocardial Infarction; Acute Myocardial Infarction

Treatments: Behavioral: public education and network construction

Study type: Interventional

Funder types: Other

Identifiers

NCT03928119

2014B070706010

Details and patient eligibility

About

Incidence of ST-segment Elevation Myocardial Infarction (STEMI) is rising and the existing emergency medical aid system for STEMI was not enough for timely perfusion treatment. No existing research with high-quality data focuses on the characteristic of STEMI incidence and regional network construction. Aiming of Guangdong GAMI(reGional network for Acute Myocardial Infarction) project is to establish effective collaborative regional network system for STEMI patients treatment.

Full description

The project of Guangdong GAMI(reGional network for Acute Myocardial Infarction) is being conducted during 2015-2019 in eight districts with diverse economic development across southern China (Integrated care model was conducted in four regions, which mainly included community public education, non primary-PCI capable centre and referral system improvement, and inhospital green-channal optimization for primary-PCI capable centre. Other four centers were underwent usual care of acute myocardial infacrtion public and medical health service). All the ST-segment elevation myocardial infarction (STEMI) patients admitted in the hospital within 30 days from the symptom onset were enrolled. The key data of the timeline of STEMI onset and treatment were precisely recorded. Other details of STEMI treatment in hospitals such as laboratory data and medication were also collected. During the research period, actions of both optimizing the regional STEMI patients transfer and treatment to shorten the medical delay, as well as educating the public to improve their awareness of early treatment of STEMI were taken meanwhile. In addition, laboratory data, medication, and follow-up information were recorded in a database for further analysis regarding the STEMI patient treatment.

Enrollment: 7,102 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

All adult patients who suspected diagnosis with STEMI.

Exclusion criteria

1. patients refused to undergo coronary angiography;
2. patients were confirmed as non-STEMI by coronary angiography or the course of STEMI over 1 month;
3. patients occurred onset STEMI during hospitalization in hospitals

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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7,102 participants in 2 patient groups

Intervention group

Experimental group

Description:

community public education, non-PCI center and emergency transfer system improvement, and inhospital green-channal optimization for PCI center.

Treatment:

Behavioral: public education and network construction

Control group

No Intervention group

Description:

Usual care of AMI public and medical health service