Protocol of the China ST-segment elevation myocardial infarction (STEMI) Care Project (CSCAP): a 10-year project to improve quality of care by building up a regional STEMI care network
Yong Huo,
Yan Zhang,
Bo Yu,
Ming Wu,
Yaling Han,
Jianan Wang,
Lixia Yang,
Zheng Wan,
Zheng Zhang,
Yuguo Chen,
Xianghua Fu,
Bao Li,
Jiyan Chen,
Yitong Ma,
Xingsheng Zhao,
Yundai Chen,
Hongbing Yan,
Dingcheng Xiang,
Weiyi Fang,
Sameer Mehta,
Christoph K Naber,
Junbo Ge
Affiliations
Yong Huo
3 Department of Cardiology, Peking University First Hospital, Beijing, China
Yan Zhang
1 Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, People’s Republic of China
Bo Yu
10 Department of Medicine, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, United States
Ming Wu
Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China
Yaling Han
Department of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning, China
Jianan Wang
the First Affiliated Hospital of Nanjing Medical University, Division of Rheumatology, Nanjing, China
Lixia Yang
Department of Psychology, Ryerson University, Toronto, Ontario, Canada
Zheng Wan
6 Department of Cardiology, The General Hospital of Tianjin Medical University, Tianjin, China
Zheng Zhang
Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, People`s Republic of China
Yuguo Chen
8 Department of Emergency, Qilu Hospital of Shandong University, Jinan, China
Xianghua Fu
9 Department of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China
Bao Li
11 Department of Cardiology, Shanxi Cardiovascular Hospital, Taiyuan, China
Jiyan Chen
Cardiology, Guangdong General Hospital, Guangzhou, Guangdong, China
Yitong Ma
14 Department of Cardiology, The First Affiliated Hospital of Xinjiang Medical University, Urumchi, China
Xingsheng Zhao
15 Department of Cardiology, Inner Mongolia People’s Hospital, Hohhot, China
Yundai Chen
16 Department of Cardiology, Chinese PLA General Hospital, Beijing, China
Hongbing Yan
17 Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China
Dingcheng Xiang
18 Department of Cardiology, General Hospital of Southern Theater Command of People’s Liberation Army, Guangzhou, China
Weiyi Fang
19 Department of Cardiology, Shanghai Chest Hospital, Shanghai, China
Sameer Mehta
20 Lumen Foundation, Miami, Florida, USA
Christoph K Naber
21 Stent Save a Life, Paris, France
Junbo Ge
22 Department of Cardiology, Zhongshan Hospital Fudan University, Shanghai, China
Introduction Successful ST-segment elevation myocardial infarction (STEMI) management is time-sensitive and is based on prompt reperfusion mainly to reduce patient mortality. It has evolved from a single hospital care to an integrated regional network approach over the last decades. This prospective study, named the China STEMI Care Project (CSCAP), aims to show how implementation of different types of integrated regional STEMI care networks can improve the reperfusion treatment rate, shorten the total duration of myocardial ischaemia and lead to mortality reduction step by step.Methods and analysis The CSCAP is a prospective, multicentre registry study of three phases. A total of 18 provinces, 4 municipalities and 2 autonomous regions in China were included. Patients who meet the third universal definition of myocardial infarction and the Chinese STEMI diagnosis and treatment guidelines are enrolled. Phase 1 (CSCAP-1) focuses on the in-hospital process optimisation of primary percutaneous coronary intervention (PPCI) hospitals, phase 2 (CSCAP-2) focuses on the PPCI hospital-based regional STEMI care network construction together with emergency medical services and adjacent non-PPCI hospitals, while phase 3 (CSCAP-3) focuses on the whole-city STEMI care network construction by promoting chest pain centre accreditation. Systematic data collection, key performance index assessment and subsequent improvement are implemented throughout the project to continuously improve the quality of STEMI care.Ethics and dissemination The study has been reviewed and approved by the Ethics Committee of Peking University First Hospital. Ranking reports of quality of care will be generated available to all participant affiliations. Results will be disseminated via peer-reviewed scientific journals and presentations at congresses.Trial registration number NCT03821012.
