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Emergency Treatment Strategies, Better Communication Among Health Care Workers Reduce Heart Attack Patient Deaths by 19 Percent, Says AHJ Published Study
Date:2/10/2009

ent mortality rates among the two groups, it did show that the ACSETS patients admitted for heart attack had a mortality rate of 19 percent less than the control group for up to one year after discharge.

"After discharge, higher refill rates were seen for the ACSETS group than for the pre-ACSETS group, with that difference showing statistical significance for clopidogrel and statins," Cziraky said.

ACSETS, based on guidelines established by the American College of Cardiology and the American Heart Association, uses pre-printed order sheets customized for use in the emergency department, inpatient and discharge that simply the task of matching intensity of therapy to risk. Rather than follow the normal procedure of creating a new order sheet at every patient stop -- from the ER to the floor and then to discharge -- the same set of orders stayed with the patients as they made their journeys through the hospital.

Physicians and other medical staff members were trained on the ACSETS order sheets for a period over 26 weeks before the study began. ACSETS educates medical staff members throughout the continuum of patient care regarding key elements of the guidelines and encourages ready adherence to those guidelines at the bedside in a time-efficient manner.

About the study

ACSETS is used for the treatment of acute coronary syndrome patients with unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), or ST-elevation myocardial infarction (STEMI). The study group included 1,709 ACSETS patients and 1,240 pre-ACSETS control patients.

The study compares acute coronary syndrome care pre (Jan. 2, 2002) and post (May 1, 2003 to Aug. 31, 2004) in a four-hospital system in western New York state. Two hospitals were urban with cardiac catherization facilities and two other hospitals were suburban and lacked cardiac catherization facilities.

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SOURCE HealthCore
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