Identifikation von Risikogruppen für myokardinfarktbedingte Letalität und nicht-leitliniengerechte Versorgung unter Patienten mit Nicht-ST-Streckenhebungs-Myokardinfarkt (NSTEMI) oder ST-Streckenhebungs-Myokardinfarkt (STEMI) in Bremen

Abstract

Acute myocardial infarction (AMI) is one of the leading causes of death in Germany and other Western industrialized countries. In this study data of the Herz ART Bremen (Heart: AMI and regional TQM in Bremen) Study will be presented. The objective of this study was to identify risk groups among patients with NSTEMI or STEMI for mortality or suboptimal care. In addition, we wanted to identify approaches to optimise medical care of AMI patients. The quality of healthcare for patients with AMI in the city of Bremen was measured for all institutions who were involved in medical care (ambulance, hospitals, cardiac catheter laboratory) by means of standardized record sheets in a 6-month sample period in 2005. We used the Bremen Mortality Index (BreMI) to determine the 1-year mortality. In order to evaluate the treatment of AMI patients we followed the guidelines of the German Cardiac Society.