Barriers to Implementation of Primary Percutaneous Coronary Intervention in Europe

Kristina Grønborg Laut; Alma Becic Pedersen; Timothy Lash; Steen Dalby Kristensen

Barriers to Implementation of Primary Percutaneous Coronary Intervention in Europe

Kristina Grønborg Laut, Alma Becic Pedersen, Timothy Lash, Steen Dalby Kristensen

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Review › Research › peer-review

Abstract

Primary percutaneous coronary intervention (PPCI) is the recommended treatment for patients with acute ST-segment elevation myocardial
infarction (STEMI). Despite substantial evidence of its effectiveness, only 40–45% of European STEMI patients are currently treated with PPCI
and there are large differences in this proportion between different European countries. Several studies have emphasised that PPCI delivery
is complex, with multiple potential barriers to implementation, but there is no comprehensive research estimating the significant
characteristics, factors and structures that determine the diffusion of PPCI in Europe. The lack of complete implementation and large national
and regional differences arise from the interplay between technology, patients, policy makers, culture and resources. Explanations for the
variation in treatment access still remain a puzzle and access to valid data is needed.

Keywords
Primary percutaneous coronary intervention, acute ST-elevation myocardial infarction, implementation, practice variation, registry data

Original language	English
Journal	European Cardiology
Volume	7
Issue	2
Pages (from-to)	108-112
Number of pages	5
ISSN	1758-3756
Publication status	Published - 14 Feb 2011

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http://www.touchcardiology.com/journals/editions/european-cardiology-volume-7-issue-2

Cite this

@article{93972d558c3c4ff5888c5c675e96454e,

title = "Barriers to Implementation of Primary Percutaneous Coronary Intervention in Europe",

abstract = "Primary percutaneous coronary intervention (PPCI) is the recommended treatment for patients with acute ST-segment elevation myocardialinfarction (STEMI). Despite substantial evidence of its effectiveness, only 40–45% of European STEMI patients are currently treated with PPCIand there are large differences in this proportion between different European countries. Several studies have emphasised that PPCI deliveryis complex, with multiple potential barriers to implementation, but there is no comprehensive research estimating the significantcharacteristics, factors and structures that determine the diffusion of PPCI in Europe. The lack of complete implementation and large nationaland regional differences arise from the interplay between technology, patients, policy makers, culture and resources. Explanations for thevariation in treatment access still remain a puzzle and access to valid data is needed.KeywordsPrimary percutaneous coronary intervention, acute ST-elevation myocardial infarction, implementation, practice variation, registry data",

author = "Laut, {Kristina Gr{\o}nborg} and Pedersen, {Alma Becic} and Timothy Lash and Kristensen, {Steen Dalby}",

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TY - JOUR

T1 - Barriers to Implementation of Primary Percutaneous Coronary Intervention in Europe

AU - Laut, Kristina Grønborg

AU - Pedersen, Alma Becic

AU - Lash, Timothy

AU - Kristensen, Steen Dalby

PY - 2011/2/14

Y1 - 2011/2/14

N2 - Primary percutaneous coronary intervention (PPCI) is the recommended treatment for patients with acute ST-segment elevation myocardialinfarction (STEMI). Despite substantial evidence of its effectiveness, only 40–45% of European STEMI patients are currently treated with PPCIand there are large differences in this proportion between different European countries. Several studies have emphasised that PPCI deliveryis complex, with multiple potential barriers to implementation, but there is no comprehensive research estimating the significantcharacteristics, factors and structures that determine the diffusion of PPCI in Europe. The lack of complete implementation and large nationaland regional differences arise from the interplay between technology, patients, policy makers, culture and resources. Explanations for thevariation in treatment access still remain a puzzle and access to valid data is needed.KeywordsPrimary percutaneous coronary intervention, acute ST-elevation myocardial infarction, implementation, practice variation, registry data

AB - Primary percutaneous coronary intervention (PPCI) is the recommended treatment for patients with acute ST-segment elevation myocardialinfarction (STEMI). Despite substantial evidence of its effectiveness, only 40–45% of European STEMI patients are currently treated with PPCIand there are large differences in this proportion between different European countries. Several studies have emphasised that PPCI deliveryis complex, with multiple potential barriers to implementation, but there is no comprehensive research estimating the significantcharacteristics, factors and structures that determine the diffusion of PPCI in Europe. The lack of complete implementation and large nationaland regional differences arise from the interplay between technology, patients, policy makers, culture and resources. Explanations for thevariation in treatment access still remain a puzzle and access to valid data is needed.KeywordsPrimary percutaneous coronary intervention, acute ST-elevation myocardial infarction, implementation, practice variation, registry data

M3 - Review

SN - 1758-3756

VL - 7

SP - 108

EP - 112

JO - European Cardiology

JF - European Cardiology

IS - 2

ER -