The Effect of Code Stemi Program on Door to Balloon Time in Patients with St Elevation Myocardial Infarction in Manado City
DOI:
https://doi.org/10.30994/sjik.v14i2.1263Keywords:
code STEMI, door to balloon time, primary PCI, STEMIAbstract
ST-Elevation Myocardial Infarction (STEMI) is a life-threatening cardiovascular emergency that requires rapid and appropriate intervention. One key indicator of successful management is Door-to-Balloon Time (D2BT), which reflects the interval between a patient's arrival at the emergency department and the initiation of primary percutaneous coronary intervention. The CODE STEMI program was developed to streamline the clinical pathway and accelerate reperfusion therapy. To evaluate the impact of the CODE STEMI program on achieving optimal D2BT in STEMI patients. This quantitative comparative study employed an analytical design using the Chi-Square test.
References
Alkatiri, A.H. et al. (2024). ‘Stress hyperglycemia and poor outcomes in patients with ST-elevation myocardial infarction: a systematic review and metaanalysis’, Frontiers in Cardiovascular Medicine, 11(March). Available at: https://doi.org/10.3389/fcvm.2024.1303685.
Alrawashdeh, A. et al. (2021). ‘Impact of emergency medical service delays on time to reperfusion and mortality in STEMI’, Open Heart, 8(1), pp. 1–9. Available American Heart Association. (2015). 2015 AHA Guidelines for CPR and ECC. Dallas: American Heart Association.at: https://doi.org/10.1136/openhrt-2021 001654.
Amoras, T.S.G. et al. (2021). ‘Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil’, International Journal of Cardiovascular Sciences, 34(1), pp. https://doi.org/10.36660/ijcs.20190104. 53–59.
Ardiansyah, Diki. Yasmin, Alya. Pragholapati, A. (2024). ‘STUDI KASUS: PENERAPAN GENERAL INITIAL MANAGEMENT TERHADAP KRITERIA HASIL MASALAH NYERI AKUT PADA PASIEN ACUTE CORONARY SYNDROME DI INSTALASI GAWAT DARURAT RSUD CIBABAT KOTA’, MANUJU: MALAHAYATI NURSING JOURNAL, 6(9), pp. 3704–3771. Available at: https://ejurnalmalahayati.ac.id/index.php/manuju/article/view/16677/Do wnload Artikel.
Barry A. Borlaug, MD dan Yogesh NV Reddy, MBBS, Ms. (2020). ‘The Role of the Pericardium in Heart Failure: Implications for Pathophysiology and Treatment’, JACC Heart Fail, 176(1), pp. 139–148. Available at: https://doi.org/10.1016/j.jchf.2019.03.021.
Boru Haloho, A. and Legiran. (2023). ‘Mengenal Lebih Dekat Penelitian Kohort: Manfaat Penelitian Kohort pada Bidang Anestesiologi dan Terapi Intensif’, Majalah Anestesia & Critical Care, 41(1), pp. 51–57. Available at: https://doi.org/10.55497/majanestcricar.v41i1.266.
Funay, B. E., et al. (2020). Effectiveness of CODE STEMI Protocol Implementation on Reducing Door-to-Balloon Time. American Journal of Emergency Medicine, 38(2), 290–295.
Funay, B. E., Siagian, M., & Santoso, A. (2020). The Impact of Code STEMI Activation on Reducing Door-to-Balloon Time in Acute ST-Elevation Myocardial Infarction. Jurnal Kardiovaskular Indonesia, 41(2), 112–119.
Funay, P.L.B. et al. (2020). ‘The Impact of “CODE STEMI” Program Implementation on Door to Balloon Time and Major Adverse Cardiac Events of Patients with ST Elevation Myocardial Infarction Pengaruh Penerapan Program “CODE STEMI” terhadap Door to Balloon Time dan Major Adverse Card’, 7(4), pp. 3–12. Available at: https://doi.org/10.7454/jpdi.v7i4.451.
Ginanjar, E. et al. (2024). ‘Impacts of the COVID-19 Pandemic on the CODE ST Segment Elevation Myocardial Infarction Program: A Quantitative and Qualitative Analysis’, Acta Medica Indonesiana, 56(1), pp. 46–54.
Ginanjar, E., Sjaaf, Amal C, et al. (2022). ‘Pengaruh Pelaksanaan CODE STEMI Terhadap Strategi Pemasaran RSUPN Dr Cipto Mangunkusumo The Impact of CODE STEMI Implementation on The Marketing Strategy of RSUPN Dr. Cipto Mangunkusumo’, 2(1).
Ginanjar, E., Sjaaf, Amal C., et al. (2022). ‘Usefulness of the CODE ST-Segment Elevation Myocardial Infarction Program to Improve Quality Assurance in Patients With ST-Segment Elevation Myocardial Infarction’, American Journal of Cardiology, 165, pp. https://doi.org/10.1016/j.amjcard.2021.10.047. 27–32.
Iacobellis, G. (2022). ‘Epicardial adipose tissue in contemporary cardiology’, Nature Reviews Cardiology, 19(9), pp. 593–606. https://doi.org/10.1038/s41569-022-00679-9.
Ibnu, H. A., & Pranata, R. (2021). Analisis waktu door to balloon pada pasien STEMI dengan aktivasi sistem Code STEMI. Jurnal Kardiologi Indonesia, 42(1), 15 21. Indri Wahyuningsih et al. (2023) ‘Pengalaman Pasien ACS (Acute Coronary Syndrome) yang Menjalani PCI (Percutaneous Coronary Intervention)’, Professional Health Journal, 5(1sp), pp. 320–328. Available at: https://doi.org/10.54832/phj.v5i1sp.653.
Karkabi, B. et al. (2021). ‘Door-to-balloon time and mortality in patients with ST elevation myocardial infarction undergoing primary angioplasty’, European Heart Journal - Quality of Care and Clinical Outcomes, 7(4), pp. 422–426. Available at: https://doi.org/10.1093/ehjqcco/qcaa037.
Kementerian Kesehatan Republik Indonesia. (2022). Pedoman Manajemen Klinis Penyakit Jantung Koroner. Jakarta: Direktorat Pelayanan Kesehatan Rujukan.
Khowaja, S. et al. (2021). ‘Time to think beyond door to balloon time : significance of total ischemic time in STEMI’, The Egyptian Heart Journal, pp. 1–7. Available at: https://doi.org/10.1186/s43044-021-00221-1.
Koh, J.Q. et al. (2018). ‘In-hospital “CODE STEMI” improves door-to-balloon time in patients undergoing primary percutaneous coronary intervention’, EMA - Emergency Medicine Australasia, 30(2), pp. 222–227. Available at: https://doi.org/10.1111/1742-6723.12855.
Kolluru, G.K. et al. (2023). ‘Sulfide regulation of cardiovascular function in health and disease’, Nature Reviews Cardiology, 20(2), pp. 109–125. Available at: https://doi.org/10.1038/s41569-022-00741-6.
Kristanto, H. (2020). Evaluasi program Code STEMI dalam penanganan infark miokard akut: Studi pada RS tipe B di Jakarta. Jurnal Manajemen Pelayanan Kesehatan, 23(2), 103–110.
Kwon, H. M., et al. (2021). Integrated Digital Notification System Improves CODE STEMI Activation and Treatment Time. Journal of Clinical Medicine, 10(3), 610. Mahmud, F., & Siregar, M. (2019). Hubungan skor Early Warning Score terhadap mortalitas pasien serangan jantung akut. Jurnal Kedokteran Brawijaya, 31(4), 201–206.
Mitsis, A. and Gragnano, F. (2021). ‘Myocardial Infarction with and without ST segment Elevation : a Contem- porary Reappraisal of Similarities and Differences’, pp. 1–10. Available https://doi.org/10.2174/1573403X16999201210195702.
Namdar, P. et al. (2021). ‘Improving Door-to-Balloon Time for Patients with Acute ST-Elevation Myocardial Infarction: A Controlled Clinical Trial’, Current Problems in Cardiology, 46(3), pp. https://doi.org/10.1016/j.cpcardiol.2020.100674. 1–15.
Nathan, A.S. et al. (2020). ‘Association Between 90-Minute Door-to-Balloon Time, Selective Exclusion of Myocardial Infarction Cases, and Access Site Choice: Insights From the Cardiac Care Outcomes Assessment Program (COAP) in Washington State’, Circulation: Cardiovascular Interventions, 13(9), p. E009179. Available https://doi.org/10.1161/CIRCINTERVENTIONS.120.009179.
Ne Oliveira, A.P.A., Urbanetto, J. de S. and Caregnato, R.C.A. (2020). ‘National Early Warning Score 2: transcultural adaptation to Brazilian Portuguese’, Revista Gaucha de Enfermagem, 41, pp. 1–15. https://doi.org/10.1590/1983-1447.2020.20190424.
Omeludike, E.K. et al. (2023). ‘Comprehensive review of ST-segment elevation myocardial infarction’, 43(September).
Wang, Y., et al. (2019). Impact of a multidisciplinary STEMI team approach on door-to-balloon time and clinical outcomes. Clinical Cardiology, 42(4), 419 425.














