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. 2019 Jul 17;9(7):e026362.
doi: 10.1136/bmjopen-2018-026362.

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

Yan Zhang  1 , Bo Yu  2 , Yaling Han  3 , Jianan Wang  4 , Lixia Yang  5 , Zheng Wan  6 , Zheng Zhang  7 , Yuguo Chen  8 , Xianghua Fu  9 , Chuanyu Gao  10 , Bao Li  11 , Jiyan Chen  12 , Ming Wu  13 , Yitong Ma  14 , Xingsheng Zhao  15 , Yundai Chen  16 , Hongbing Yan  17 , Dingcheng Xiang  18 , Weiyi Fang  19 , Sameer Mehta  20 , Christoph K Naber  21 , Junbo Ge  22 , Yong Huo  1
Affiliations

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

Yan Zhang et al. BMJ Open. .

Abstract

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.

Keywords: ST-elevation myocardial infarction; accreditation; chest pain center; network; reperfusion.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CSCAP whole-city STEMI care network construction. CSCAP, China ST-elevation myocardial infarction Care Project; EMS, emergency medical system; PCI, percutaneous coronary intervention; STEMI, ST-segment elevation myocardial infarction.
Figure 2
Figure 2
CSCAP STEMI emergency care flow chart. CSCAP, China ST-elevation myocardial infarction Care Project; ED, emergency department; PCI, percutaneous coronary intervention; STEMI, ST-segment elevation myocardial infarction.
See this image and copyright information in PMC

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