Compliance for ESC domains of quality for patients with AMI
| Domains | Total population | Eligible population | Availability (%) | Compliance (%) SE |
| 1. Centre organisation and system level structures of AMI care | – | – | – | – |
| 2. Reperfusion invasive strategy | 22.4 | |||
| QI 2.1. For patients treated with fibrinolysis: <30 min from diagnosis to the needle. | 844 | 53 | 39 (73.6) | 10 (25.6) 0.07 |
| QI 2.2. For patients treated with primary PCI and admitted: <60 min from door to balloon time. | 844 | 442 | 309 (69.9) | 45 (14.6) 0.02 |
| QI 2.3. The proportion of patients with NSTEMI, and no contraindication, who receive coronary angiography within 72 hours after admission. | 90 | 90 | 90 (100) | 27 (30.0) 0.05 |
| 3. In-hospital risk assessment NSTEMI | 50.6 | |||
| QI 3.1. The proportion of patients with NSTEMI who have ischaemic risk assessment using the GRACE risk score | 90 | 90 | 90 (100) | 71 (78.9) 0.04 |
| Mean GRACE score | 120.4 (SD=39.9) | |||
| Median GRACE score | 114 | |||
| Mean probability of death in hospital | 1%–3% | |||
| QI 3.2. Proportion of patients admitted with STEMI or NSTEMI bleeding risk assessment using CRUSADE Mean CRUSADE score | 934 | 934 | 208 (22.3) | 24.7 (SD=14.0) |
| 4.Antithrombotic during hospitalisation | 79.1 | |||
| QI 4.1. Number of patients eligible for in-hospital antithrombotic therapies who received ≥1 therapies. | 934 | 934 | 930 (99.6) | 738 (79.4) 0.01 |
| QI 4.3. Dual antiplatelet therapy | 934 | 934 | 934 (100) | 736 (78.8) 0.01 |
| 5. Secondary prevention discharge treatment. | 87.9 | |||
| QI 5.1. Proportion of patients with AMI discharged on statins, unless contraindicated | 934 | 829 | 829 (100) | 729 (87.9) 0.01 |
| 6. Patient experience collected in a systematic way (Seattle Angina and EQ5DL). | 551 (76.1) | |||
| Mean patient satisfaction (range 1–100) | 934 | 724 | 551 | 75.5 (SD=14.00) |
| QI 6.1. Pain reported as a symptom (EQ5DL) | 934 | 724 | 551 (76.1) | 203 (36.8) 0.02 |
| 7. Composite quality indicator (mean) | 934 | 571 | 44 | |
| QI 7.3. 30-day mortality rate adjusted for GRACE 2.0 | 934 | 571 | 0.4 (0.07) |
Compliance for domains 2–7 is described below. Domain 1 includes descriptive information, which is described within the main body of the results. Compliance for each indicator is reported as a proportion (%) with the SE where appropriate. The composite proportion of compliance for each domain is in bold.
*STEMI- ST- elevation myocardial infarction. NSTEMI- non- ST- elevation myocardial infarction. EQ5D-L- EuroQual 5 domains- long.
AMI, acute myocardial infarction; ESC, European Society of Cardiology; GRACE, Global Registry of Acute Coronary Events; PCI, percutaneous coronary intervention; QI, quality indicator.