Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network
Introduction Successful ST-segment elevation myocardial infarction (STEMI) management is time-sensitive and is based on prompt reperfusion mainly to reduce patient mortality. It has evolved from a single hospital care to an integrated regional network approach over the last decades. This prospective...
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e026362.full |
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| author | Yong Huo Yan Zhang Bo Yu Ming Wu Yaling Han Jianan Wang Lixia Yang Zheng Wan Zheng Zhang Yuguo Chen Xianghua Fu Bao Li Jiyan Chen Yitong Ma Xingsheng Zhao Yundai Chen Hongbing Yan Dingcheng Xiang Weiyi Fang Sameer Mehta Christoph K Naber Junbo Ge |
| author_facet | Yong Huo Yan Zhang Bo Yu Ming Wu Yaling Han Jianan Wang Lixia Yang Zheng Wan Zheng Zhang Yuguo Chen Xianghua Fu Bao Li Jiyan Chen Yitong Ma Xingsheng Zhao Yundai Chen Hongbing Yan Dingcheng Xiang Weiyi Fang Sameer Mehta Christoph K Naber Junbo Ge |
| author_sort | Yong Huo |
| collection | DOAJ |
| description | Introduction Successful ST-segment elevation myocardial infarction (STEMI) management is time-sensitive and is based on prompt reperfusion mainly to reduce patient mortality. It has evolved from a single hospital care to an integrated regional network approach over the last decades. This prospective study, named the China STEMI Care Project (CSCAP), aims to show how implementation of different types of integrated regional STEMI care networks can improve the reperfusion treatment rate, shorten the total duration of myocardial ischaemia and lead to mortality reduction step by step.Methods and analysis The CSCAP is a prospective, multicentre registry study of three phases. A total of 18 provinces, 4 municipalities and 2 autonomous regions in China were included. Patients who meet the third universal definition of myocardial infarction and the Chinese STEMI diagnosis and treatment guidelines are enrolled. Phase 1 (CSCAP-1) focuses on the in-hospital process optimisation of primary percutaneous coronary intervention (PPCI) hospitals, phase 2 (CSCAP-2) focuses on the PPCI hospital-based regional STEMI care network construction together with emergency medical services and adjacent non-PPCI hospitals, while phase 3 (CSCAP-3) focuses on the whole-city STEMI care network construction by promoting chest pain centre accreditation. Systematic data collection, key performance index assessment and subsequent improvement are implemented throughout the project to continuously improve the quality of STEMI care.Ethics and dissemination The study has been reviewed and approved by the Ethics Committee of Peking University First Hospital. Ranking reports of quality of care will be generated available to all participant affiliations. Results will be disseminated via peer-reviewed scientific journals and presentations at congresses.Trial registration number NCT03821012. |
| format | Article |
| id | doaj-art-cf89e8e08165454d9c25da8ee0d2d60c |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-cf89e8e08165454d9c25da8ee0d2d60c2025-08-20T02:50:29ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-026362Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care networkYong Huo0Yan Zhang1Bo Yu2Ming Wu3Yaling Han4Jianan Wang5Lixia Yang6Zheng Wan7Zheng Zhang8Yuguo Chen9Xianghua Fu10Bao Li11Jiyan Chen12Yitong Ma13Xingsheng Zhao14Yundai Chen15Hongbing Yan16Dingcheng Xiang17Weiyi Fang18Sameer Mehta19Christoph K Naber20Junbo Ge213 Department of Cardiology, Peking University First Hospital, Beijing, China1 Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, People’s Republic of China10 Department of Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, United StatesObstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, ChinaDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning, Chinathe First Affiliated Hospital of Nanjing Medical University, Division of Rheumatology, Nanjing, ChinaDepartment of Psychology, Ryerson University, Toronto, Ontario, Canada6 Department of Cardiology, The General Hospital of Tianjin Medical University, Tianjin, ChinaDepartment of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, People`s Republic of China8 Department of Emergency, Qilu Hospital of Shandong University, Jinan, China9 Department of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China11 Department of Cardiology, Shanxi Cardiovascular Hospital, Taiyuan, ChinaCardiology, Guangdong General Hospital, Guangzhou, Guangdong, China14 Department of Cardiology, The First Affiliated Hospital of Xinjiang Medical University, Urumchi, China15 Department of Cardiology, Inner Mongolia People’s Hospital, Hohhot, China16 Department of Cardiology, Chinese PLA General Hospital, Beijing, China17 Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China18 Department of Cardiology, General Hospital of Southern Theater Command of People’s Liberation Army, Guangzhou, China19 Department of Cardiology, Shanghai Chest Hospital, Shanghai, China20 Lumen Foundation, Miami, Florida, USA21 Stent Save a Life, Paris, France22 Department of Cardiology, Zhongshan Hospital Fudan University, Shanghai, ChinaIntroduction Successful ST-segment elevation myocardial infarction (STEMI) management is time-sensitive and is based on prompt reperfusion mainly to reduce patient mortality. It has evolved from a single hospital care to an integrated regional network approach over the last decades. This prospective study, named the China STEMI Care Project (CSCAP), aims to show how implementation of different types of integrated regional STEMI care networks can improve the reperfusion treatment rate, shorten the total duration of myocardial ischaemia and lead to mortality reduction step by step.Methods and analysis The CSCAP is a prospective, multicentre registry study of three phases. A total of 18 provinces, 4 municipalities and 2 autonomous regions in China were included. Patients who meet the third universal definition of myocardial infarction and the Chinese STEMI diagnosis and treatment guidelines are enrolled. Phase 1 (CSCAP-1) focuses on the in-hospital process optimisation of primary percutaneous coronary intervention (PPCI) hospitals, phase 2 (CSCAP-2) focuses on the PPCI hospital-based regional STEMI care network construction together with emergency medical services and adjacent non-PPCI hospitals, while phase 3 (CSCAP-3) focuses on the whole-city STEMI care network construction by promoting chest pain centre accreditation. Systematic data collection, key performance index assessment and subsequent improvement are implemented throughout the project to continuously improve the quality of STEMI care.Ethics and dissemination The study has been reviewed and approved by the Ethics Committee of Peking University First Hospital. Ranking reports of quality of care will be generated available to all participant affiliations. Results will be disseminated via peer-reviewed scientific journals and presentations at congresses.Trial registration number NCT03821012.https://bmjopen.bmj.com/content/9/7/e026362.full |
| spellingShingle | Yong Huo Yan Zhang Bo Yu Ming Wu Yaling Han Jianan Wang Lixia Yang Zheng Wan Zheng Zhang Yuguo Chen Xianghua Fu Bao Li Jiyan Chen Yitong Ma Xingsheng Zhao Yundai Chen Hongbing Yan Dingcheng Xiang Weiyi Fang Sameer Mehta Christoph K Naber Junbo Ge Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network BMJ Open |
| title | Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network |
| title_full | Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network |
| title_fullStr | Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network |
| title_full_unstemmed | Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network |
| title_short | Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network |
| title_sort | protocol of the china st segment elevation myocardial infarction stemi care project cscap a 10 year project to improve quality of care by building up a regional stemi care network |
| url | https://bmjopen.bmj.com/content/9/7/e026362.full |
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