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2007 ACTION Registry ™ 2nd Quarter Results

2007 ACTION Registry ™ 2nd Quarter Results. Background. Recent studies have demonstrated that guidelines adherence is sub-optimal for a large proportion of ACS patients.

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2007 ACTION Registry ™ 2nd Quarter Results

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  1. 2007 ACTION Registry™ 2nd Quarter Results

  2. Background • Recent studies have demonstrated that guidelines adherence is sub-optimal for a large proportion of ACS patients. • The ACTION Registry™ has been created from the previous CRUSADE and NRMI registries to enable hospitals to measure and improve their performance in treating patients with ACS • Contained are performance information from the 2006-2007 harvest from both the CRUSADE and ACTION registries.

  3. Current ACTION Site Distribution Active Sites = 290 WA (12) ME (1) VT (0) ND (1) MT (1) MI NH (1) MN (5) NY (10) OR (6) MA (1) WI (6) SD (1) RI (0) ID (1) MI (14) WY (0) CT (2) PA (26) IA (7) NJ (6) NE (4) OH (22) DE (0) NV (0) IL (18) IN (12) WV (1) MD (11) VA (11) UT (0) CO (7) KY (2) MO (8) KS (5) DC (0) CA (15) NC (17) TN (8) SC (3) OK (2) AR (1) AZ (3) NM (0) AL (3) GA (8) MS (5) LA (2) TX (11) FL (9) AK (1) HI (0) Last updated: 1/4/07

  4. ACTION 2007 Cumulative Data Submission Number of records

  5. Complexity of STEMI PatientsBaseline Characteristics ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007

  6. Hospital Presentation - STEMI ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007

  7. In-Hospital Outcomes - STEMI *Transfusion among non-CABG patients ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007

  8. Use of Reperfusion Therapy for STEMI STEMI N = 11,854 Reperfusion N = 8,954 (76%) Not Eligible for Reperfusion Therapy Contraindication Listed N= 1,926 (16%) No Reperfusion – No Contraindication Listed N = 690 (6%) Primary PCI – 81%* Fibrinolytics – 10%* Both PCI + Lytics – 9%* 90% of eligible patients reperfused ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007 * Among patients receiving reperfusion

  9. STEMI – Door to Balloon and Door to Needle Times:Cumulative 12 Month Data ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007 (n=11,854) DTB = 1st Door to Balloon for Primary PCI DTN = Door to Needle for Lytics

  10. CRUSADE toACTION Quarter Results -Non-Transfer Patients with DTB  90 mins Non-transfer patients represent ~ 2/3 of primary PCI population

  11. CRUSADE to ACTION Quarter Results -DTB Benchmarks for Transfer-In Patients 1st Door to Balloon < 90 Minutes 1st Door to Balloon < 120 Minutes Transfer In patients represent ~ 1/3 of primary PCI population

  12. CRUSADE to ACTION Door-to-Balloon Times –Median Times for Transfer In and Non-Transfer In Patients 250 240 236 231 230 223 220 211 210 200 190 180 176 170 170 159 160 150 148 Time (min) 140 130 130 123 122 122 119 119 120 110 103 103 100 90 87 90 79 80 78 70 67 67 62 60 59 50 40 30 20 10 0 Q3 06 Q4 06 Q1 07 Q2 07 Transfer in DTB Times Non-Transfer in DTB Times

  13. STEMI Acute Medications ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007 (n=11,854)

  14. STEMI Discharge Medications % Use *Ideal patientsACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007 (n= 11,854)

  15. STEMI Discharge Interventions ACTION/CRUSADE DATA: July 1, 2006 – June 30, 2007 (n=11,854)

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