Table 2.
Summary of clinical data in relation to MCN protocols
| Area | MCN Protocol | Result |
Difference between pre and post MCN p-value* | |
|---|---|---|---|---|
| Pre MCN (n=97) | Post MCN (n=105) | |||
| Immediate aspirin | All to receive immediate aspirin | 63.6% | 67.7% | 0.56 |
| Thrombolysis | All to be considered for thrombolysis | 48.3% | 59% | 0.14 |
| 50% to achieve door to needle target (≤30 minutes) | 31% | 45.6% | 0.14 | |
| Achieve pain to needle target (≤90 minutes) | 15% | 32.7% | 0.05 | |
| Median pain to needle times (hh:mm [range]) | 2:27 [10:45] | 2:09 [10:17] | 0.2° | |
| Discharge medication | 70% on antiplatelet agents | 97.6% | 97.9% | 0.89 |
| 70% on betablockade | 60.2% | 68.1% | 0.28 | |
| 70% on ACEI | 90.2% | 88.4% | 0.70 | |
| 70% on Statin (with cholesterol >5.00) | 78.6% | 88.7% | 0.10 | |
| Cardiac rehabilitation | All seen by rehab nurse pre discharge | 96.4% | 96.8% | 0.87 |
| All have out-patient rehab arranged pre discharge | 88.8% | 92.4% | 0.41 | |
| All attend out-patient rehab programme | 75.9% | 76.4% | 0.94 | |
| Secondary prevention at 6 months post MI | 70% on antiplatelet agents | 98.8% | 97.8% | 0.62 |
| 70% on betablockade | 61.3% | 75% | 0.05 | |
| 70% on ACEI | 87.3% | 85.4% | 0.71 | |
| 70% on Statin (with cholesterol >5.00) | 80.3% | 95.5% | 0.007 | |
*
Refers to chi-squared test of difference for pre-post comparisons.
°: Refers to Mann-Whitney test of difference for pre-post comparisons.