THE IMPLEMENTATION OF CODE STEMI PROGRAM TO AFFECT THE QUALITY OF HEALTHCARE IN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) PATIENTS: A SYSTEMATIC LITERATURE REVIEW
Abstract
Backgrounds: The Clinical importance of coronary artery disease manifests as Acute Coronary Syndrome with the highest mortality is known as ST-Elevation Myocardial Infarction (STEMI). Delay in STEMI management not only affect mortality and complications, but also healthcare quality. The CODE STEMI program was developed to shorten the time and reduce delay in treatments for STEMI patients. This study aims to review the effect of CODE STEMI program implementation on clinical outcome and healthcare quality in STEMI patients.
Methods: This study was a systematic review of literature that used meta-analysis (PRISMA) protocol. Data obtained from Electronic databases Google Scholar, PubMed, and MEDLINE that published over several years and we began on May 2019. Assessment of healthcare quality was based on Donabedian theory that consists of 7 main components, efficacy, effectiveness, efficiency, optimality, acceptability, legitimacy and equity. Analysis between studies was reported as descriptive narration.
Results: The search found 15 studies, of which 4 studies as the final results that are suitable for this literature review through the keyword findings CODE STEMI, STEMI, and quality of healthcare. Studies in several countries over the globe reported a decrease of door-to-balloon/ diagnosis-to-wire time. Some studies reported reduced mortality, complications, and cost after implementation of CODE STEMI program, while others only found insignificant trends.
Conclusions: Implementation of CODE STEMI protocol made a better Quality of Healthcare. However, it needs further study to review and evaluate the effect of CODE STEMI implementation, especially on the quality of healthcare in STEMI patients.
Keywords: CODE STEMI, STEMI, Quality of Healthcare, Donabedian Theory
Downloads
References
WHO. Non Communicable Diseases Country Profiles 2011. Vol. ISBN 978 9. Geneva; 2011.
Ministry of Health Republic of Indonesia. Primary Health Research Main Result (Riskesdas) 2018. Available from : www.depkes.go.id
Alwi I. Text Book of Internal Medicine. VI. Setiati S, Alwi I, Sudoyo A W, K marcellus simadbrata, Setyahadi B, Syam ari fahrial,
editors. Jakarta: Interna Publishing; 2014. 2464–72.
Mandelzweig L, Battler A, Boyko V, Bueno H, Danchin N, Filippatos G, et al. The second euro heart survey on acute coronary
syndromes: Characteristics, treatment, and outcome of patients with ACS in Europe and the Mediterranean Basin in 2004. Eur Heart J.
;27(19):2285–93.
Muhadi, Antono D, Alwi I. Characteristic of acute coronary syndrome presenting with lung edema in ICCU Dr Cipto Mangunkusumo
Hospital. [Jakarta]: Universitas Indonesia; 2009.
Chan MY, Du X, Eccleston D, Ma C, Mohanan PP, Ogita M, et al. Acute Coronary Syndrome in the Asia-Pacific Region. Int J Cardiol
[Internet]. 2016 Jan;202:861–9. Available from: http://dx.doi.org/10.1016/j.ijcard.2015.04.073
Boersma E, Steyerberg EW, Van der Vlugt MJ, Simoons ML. Reperfusion Therapy for Acute Myocardial Infarction. Drugs [Internet].
;56(1):31–48. Available from: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L28340184%0Ahttp://dx.doi.org/10.2165/00003495 -199856010-00004
Setyawan M, Antono D, Dewiasty A. Validation of Thrombolysis in Myocardial Infarction (TIMI) score for mortality prediction of acute coronary syndromen in Indonesia. Universitas Indonesia; 2011.
Alyahya AA, Alghammass MA, Aldhahri FS, Alsebti AA, Alfulaij AY, Alrashed SH, et al. The impact of introduction of Code-STEMI program on the reduction of door-to-balloon time in acute ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: A single-center study in Saudi Arabia. J Saudi Hear Assoc [Internet]. 2018 Jul;30(3):172–9. Available from: https://doi.org/10.1016/j.jsha.2017.11.002
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J [Internet]. 2018 Jan;39(2):119–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28886621
Donabedian A. An Introduction to Quality Assurance in Health Care [Internet]. Bashshur R, editor. Vol. 15, Oxford University Press, Inc. 2003. 357–358 p. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0749379703002897
Ghimire G, Gupta A, Hage FG. Guidelines in review: 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction. J Nucl Cardiol [Internet]. 2014 Feb;21(1):190–1. Available from: http://link.springer.com/10.1007/s12350-013-9808-x
Koh JQ, Tong DC, Sriamareswaran R, Yeap A, Yip B, Wu S, et al. In-hospital ‘CODE STEMI'' improves door-to-balloon time in
patients undergoing primary percutaneous coronary intervention.' Emerg Med Australas [Internet]. 2018 Apr;30(2):222–7. Available
from: http://doi.wiley.com/10.1111/1742-6723.12855
Parikh R, Faillace R, Hamdan A, Adinaro D, Pruden J, DeBari V, et al. An emergency physician activated protocol, ‘Code STEMI''
reduces door-to-balloon time and length of stay of patients presenting with ST-segment elevation myocardial infarction.' Int J Clin Pract [Internet]. 2009 Mar;63(3):398–406. Available from: http://doi.wiley.com/10.1111/j.1742-1241.2008.01920.x
Le May MR, Davies RF, Labinaz M, Sherrard H, Marquis JF, LarameÌe LA, et al. Hospitalization Costs of Primary Stenting Versus
Thrombolysis in Acute Myocardial Infarction: Cost Analysis of the Canadian STAT Study. Circulation. 2003;108(21):2624–30.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Each author(s) agree to transfer all copyrights and assign YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND, the Publisher of Proceedings of the International Conference on Applied Science and Health, for the full term of exclusive copyright and any extensions or renewals of that terms thereof throughout the world, including but not limited to publish, disseminate, transmit, store, translate, distribute, sell, republish and use the Contribution and material contained therein in print and electronic form of the journal and in other derivative works, in all languages and any form of media of expression available now or in the future and to license or permit others to do so.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Proceedings of the International Conference on Applied Science and Health is an open access following Creative Commons License Deed – Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). Users are allowed to copy and redistribute the material in any medium or format as well as remix, transform, and build upon the material with one condition--appropriate credit is given to the journal.
