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HDS-19.2 Data Details

HDS-19.2 Increase the proportion of eligible patients with heart attacks who receive percutaneous intervention (PCI) within 90 minutes of hospital arrival

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
88.6 (2009)
Target
97.5
Target-Setting Method
10 percent improvement
Numerator
Number of eligible (STEMI) patients with heart attacks who receive percutaneous intervention (PCI) within 90 minutes of hospital arrival
Denominator
Number of eligible (STEMI) patients with heart attacks
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The measure definition follows the guidelines in the American College of Cardiology/American Heart Association Guidelines for the Management of Patients with (ST-Elevation) Myocardial Infarction. The time-to-treatment recommendations in these Guidelines start with when the patient presents to the medical system. The Guidelines recommend 90 minutes (from medical system contact) to treatment with PCI, longer than the recommendation for time-to-treatment with fibrinolytics. The longer time frame for PCI in the updated Guidelines recognizes the logistical maneuvers hospitals must set in motion when a patient requires PCI, including summoning the treatment team, transferring the patient from the emergency department to the cardiac catheterization laboratory, and performing the procedure.

STEMI patients were excluded if they were transferred in, received rescue or facilitated PCI, or if they had a non-system reason to delay primary PCI.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 12-3b in that this objective tracks eligible (STEMI) patients with heart attacks who receive percutaneous intervention (PCI) within 90 minutes of hospital arrival instead of within 90 minutes of symptom onset. The data source has been changed from the National Registry of Myocardial Infarction (NRMI–4) to the Acute Coronary Treatment and Intervention Outcomes Network Registry-Get with the Guidelines.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2014, race/ethnicity data were displayed for all groups for which statistically reliable data are available. Some race/ethnicity groups were mistakenly supressed at the launch due to a database error.