Acute coronary syndrome (ACS) and chronic coronary syndrome (CCS) in patients requiring referral for coronary angiography or percutaneous coronary intervention (CAG/PCI). Delay CAG/PCI for patients with CAD due to limitation of current referral system in Thailand. Coronary Artery Disease, Heart Network, referral system, consultation system, health information exchange, time-to-treatment, ST Elevation Myocardial Infarction,Non-ST Elevation Myocardial Infarction,Coronary Disease
Conditions
Interventions
Patients with coronary artery disease (CAD
including STEMI, NSTE-ACS, and CCS) were transferred to the referral hub hospital via the Seamless Bangkok Heart Network application.,Patients with coronary artery disease (CAD
including STEMI, NSTE-ACS, and CCS) were transferred to the referral hub hospital via the conventional referral system.
Experimental Other,Active Comparator Other
Heart Network Group ,Conventional group
Sponsors
Health Systems Research Institute(HSRI)
Eligibility
Sex/Gender
All
Age
20 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1.Age more than 20 year-old. 2.Diagnose with coronary artery disease. 3.Transfer from affiliate hospital to referral hub hospital for CAG/PCI.
Exclusion criteria
Exclusion criteria: 1.Patient refuses to participate in the study. 2.Upon arrival at referral hub hospital, contraindications for performing coronary angiography/percutaneous coronary intervention (CAG/PCI) are present. 3.Upon arrival at referral hub hospital, the physician determines that CAG/PCI is not indicated. 4.The affiliate hospital cancels the patient referral.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite proportion achieving CAG/PCI within time frames of all types of CAD patients (STEMI, NSTE-ACS, CCS) at CAG/PCI date and time Rate of achieving CAG/PCI within specific time frames of all types of CAD patients according to Thai Clinical Practice guidelines | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of achieving CAG/PCI within time frame of STEMI patients at CAG/PCI date and time Rate of achieving CAG/PCI within specific time frames of STEMI patients according to Thai Clinical Practice guidelines,Rate of achieving CAG/PCI within time frame of NSTE-ACS patients at CAG/PCI date and time Rate of achieving CAG/PCI within specific time frames of NSTE-ACS patients according to Thai Clinical Practice guidelines,Rate of achieving CAG/PCI within time frame of CCS patients at CAG/PCI date and time Rate of achieving CAG/PCI within specific time frames of CCS patients according to Thai Clinical Practice guidelines,Satisfaction of patients and relatives about referral method at Discharge date after CAG/PCI 5-point Likert scale assessing satisfaction levels,Satisfaction of healthcare workers about referral method at study completion date 5-point Likert scale assessing satisfaction levels | — |
Countries
Thailand
Contacts
Public ContactWarawut Umpornwirojkit
King Taksin Memorial Hosptial
Outcome results
None listed