Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine

Background: Global researchers have found a wide practice gap between optimal care and actual care patients with acute ST-segment elevation myocardial infarction (STEMI). Indicators of quality of care for acute myocardial infarction (AMI) patients have already been developed. The main objective of the present study was to estimate the uptake to quality indicators that reflect the current evidence-based recommendations and guidelines. Methods: A descriptive study was conducted using review of medical records, and medical charts of new patients admitted and treated as acute STEMI at department of critical care medicine, Cairo university, between April 1st, 2015 to September 31st, 2016. For the purpose of the analysis, a set of highly predictive quality indicators has been used. Frequency or median was calculated, as appropriate, for each indicator, to estimate performance for each area of care. Univariate associations were examined using chi-square tests and student{u2019}s t-tests, as appropriate, and multivariate analysis has been done to choose best predictors. Results: From 222 patient with acute STEMI (mean age 56.3±11.78 years, 79.7% male), 13.51% presented to hospital after 12 hours of symptoms onset. Primary percutaneous coronary interventions (PCI) were applied on 81.1% cases (N=180) and median 2door to balloon3 time was 126.5 (mean144.01±107.477, N = 120) minutes. In the first 24 hours, ASA, Ý-blockers and angiotensin converting enzyme inhibitors (ACE-I) or AR-blockers was administered in 100%, 38.92% and 63.01% of the total eligible cases respectively

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