Table 3.
Comparison of use of care and acute care management quality characteristics between the pre-wave, per-wave and post-wave periods
| Global (N=2782) | Pre-wave (N=1868) | Per-wave (N=407) | Post-wave (N=507) | P value corrected (FDR) | |||||
| n | (%) | n | (%) | n | (%) | n | (%) | ||
| Use of care | |||||||||
| Calls to emergency services | 2782 | 1868 | 407 | 507 | 0.704* | ||||
| No | 607 | (21.8) | 422 | (22.6) | 74 | (18.2) | 111 | (21.9) | |
| Yes | 2175 | (78.2) | 1446 | (77.4) | 333 | (81.8) | 396 | (78.1) | |
| FMC | 2782 | 1868 | 407 | 507 | 0.704* | ||||
| MICU | 1597 | (57.4) | 1069 | (57.2) | 247 | (60.7) | 281 | (55.4) | |
| EU with cathlab | 458 | (16.5) | 321 | (17.2) | 51 | (12.5) | 86 | (17.0) | |
| EU without cathlab | 727 | (26.1) | 478 | (25.6) | 109 | (26.8) | 140 | (27.6) | |
| Symptoms-to-care time (min) | 2360 | 1581 | 349 | 430 | 0.799† | ||||
| Median (IQR) | 77 | (30;206) | 76 | (30;212) | 84 | (31;202) | 75 | (30;178) | |
| Missing values | 422 | 287 | 58 | 77 | |||||
| Acute care management quality | |||||||||
| FMC-to-procedure time (min) | 2364 | 1577 | 353 | 434 | 0.799† | ||||
| Median (IQR) | 99 | (71;157) | 100 | (71;158) | 95 | (69;152) | 102 | (71;153) | |
| Missing values | 418 | 291 | 54 | 73 | |||||
| Pathway type | 2742 | 1841 | 400 | 501 | 0.799* | ||||
| Optimal pathway: calls to emergency services/MICU transport/direct referral to cathlab | 1557 | (56.8) | 1042 | (56.6) | 240 | (60.0) | 275 | (54.9) | |
| Calls to emergency services/EU/direct referral to cathlab | 550 | (20.1) | 356 | (19.3) | 82 | (20.5) | 112 | (22.4) | |
| No call to emergency services/EU/direct referral to cathlab | 591 | (21.6) | 412 | (22.4) | 72 | (18.0) | 107 | (21.4) | |
| Calls to emergency services/EU/no direct referral to cathlab | 28 | (1.0) | 20 | (1.1) | 4 | (1.0) | 4 | (0.8) | |
| No call to emergency services/EU/no direct referral to cathlab | 16 | (0.6) | 11 | (0.6) | 2 | (0.5) | 3 | (0.6) | |
| Missing values | 40 | 27 | 7 | 6 | |||||
| Mode of transport to the first hospital | 2782 | 1868 | 407 | 507 | 0.722* | ||||
| Personal transport | 444 | (16.0) | 311 | (16.6) | 55 | (13.5) | 78 | (15.4) | |
| Non-MICU transport | 558 | (20.1) | 372 | (19.9) | 77 | (18.9) | 109 | (21.5) | |
| MICU transport (road) | 1523 | (54.7) | 1010 | (54.1) | 243 | (59.7) | 270 | (53.3) | |
| MICU transport (helicopter) | 123 | (4.4) | 84 | (4.5) | 11 | (2.7) | 28 | (5.5) | |
| Unknown | 134 | (4.8) | 91 | (4.9) | 21 | (5.2) | 22 | (4.3) | |
| Direct referral to cathlab | 2782 | 1868 | 407 | 507 | 0.799* | ||||
| No | 84 | (3.0) | 58 | (3.1) | 13 | (3.2) | 13 | (2.6) | |
| Yes | 2698 | (97.0) | 1810 | (96.9) | 394 | (96.8) | 494 | (97.4) | |
| Fibrinolysis | 2560 | 1724 | 366 | 470 | 0.799* | ||||
| No | 2428 | (94.8) | 1633 | (94.7) | 345 | (94.3) | 450 | (95.7) | |
| Yes | 132 | (5.2) | 91 | (5.3) | 21 | (5.7) | 20 | (4.3) | |
| Missing values | 222 | 144 | 41 | 37 | |||||
| PCI | 2364 | 1577 | 353 | 434 | 0.799* | ||||
| No | 330 | (14.0) | 211 | (13.4) | 50 | (14.2) | 69 | (15.9) | |
| Yes | 2034 | (86.0) | 1366 | (86.6) | 303 | (85.8) | 365 | (84.1) | |
| Missing values | 418 | 291 | 54 | 73 | |||||
| Fibrinolysis or PCI | 2359 | 1576 | 349 | 434 | 0.704* | ||||
| No | 292 | (12.4) | 190 | (12.1) | 38 | (10.9) | 64 | (14.7) | |
| Yes | 2067 | (87.6) | 1386 | (87.9) | 311 | (89.1) | 370 | (85.3) | |
| Missing values | 423 | 292 | 58 | 73 | |||||
STEMI cohort (N=2782).
*χ2 test.
†Kruskal-Wallis test.
EU, emergency unit; FDR, correction of p value by false discovery rate method; FMC, first medical contact; MICU, mobile intensive care units; PCI, percutaneous coronary intervention.