Table 25-10.
Timely Reperfusion for ACS and Stroke*
Quality-of-Care Measure | VHA (for STEMI) or GWTG-Stroke (for Stroke) | ACTION-GWTG STEMI |
---|---|---|
STEMI | ||
Thrombolytic agents within 30 min | 50† | 54.0† |
PCI within 90 min | 65 | 95.9 |
Stroke | ||
IV tPA in patients who arrived <2 h after symptom onset, treated ≤3 h | 88.1 | N/A |
IV tPA in patients who arrived <3.5 h after symptom onset, treated ≤4.5 h | 73.3 | N/A |
IV tPA door-to-needle time ≤60 min | 70.3 | N/A |
Values are percentages. ACS indicates acute coronary syndrome; ACTION, Acute Coronary Treatment and Intervention Outcomes Network Registry; GWTG, Get With the Guidelines; IV, intravenous; N/A, not applicable; PCI, percutaneous coronary intervention; STEMI, ST-segment–elevation myocardial infarction; tPA, tissue-type plasminogen activator; and VHA, Veterans Health Administration.
VHA data reported include data from October 1, 2014, to September 30, 2015; GWTG-Stroke data include data from January 2015 to December 2015. ACTION Registry: data reported include data from first quarter of 2014 to the fourth quarter of 2014.
Indicates data based on low numbers.