A population based registration system for patients with myocardial infarction is running at Fasa University of Medical Sciences (FUMS) in order to provide a real-world view of clinical practice, patient outcomes, safety, and comparative effectiveness for acute MI.
(Details of this study is provided below in the attached article published in 2016)
How we do it:
In this registry, all MI patients, independent of the severity, will be recorded in ER, CCU, Post CCU and ICU wards. The patients will have their digital files including demographic and clinical data in accordance with the protocol enclosed. The registration is not limited to a specific number of patients and will continue in the hospital forestablishment of an ever-growing database. The only inclusion criterion is the diagnosis of MI according to WHO criteria including typical presenting symptoms, STEMI as implicated in ECG or NSTEMI approved by a positivecardiac biomarker test result.
In possible scenarios of arriving alive or dead at the hospital whether with EMS, third parties or personally, one of the team members will be informed to reach the patient for initial assessments. Data gathering sheet is filled at the first exposure and will be completed in the following hospital admission days. In case the patient is transferred to a tertiary center, contact data are obtained. Outcome variables as delineated in the data-gathering sheet are recorded by a trained nurse; in case of any doubt about the outcomes, an attending cardiologist will be in reach in less than 6 hours. Completed data sheets are re-organized in electronic file formats by the same person to form the cloud database, both with offline and online data-entry capabilities and synchronization options.
At the first exposure the trained nurse interviews the patient or a first degree relative to obtain necessary information on the presenting symptoms and the time to call the EMS or to come to hospital. Physical exam findings are recorded using the patient triage form and hospital files. When CPR is performed the detailed CPR sheet with all the medications used and DC shocks delivered are recorded. In case of administration of a reperfusion protocol for STEMI patients, door to needle time and door to balloon times are recorded and the largest delays are identified.
Now (January 2017) this project is in the stage of gathering information and about 650patients were registered up to now.