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ACTION Registry-GWTG Results: January 1, 2009 – December 31, 2009

ACTION Registry-GWTG Results: January 1, 2009 – December 31, 2009. Current Site Distribution. Active Sites = 539. WA (8). ME (1). VT (0). ND (1). MT (2). MI. NH (1). MN (6). NY (18). OR (10). MA (6). WI (7). SD (1). RI (1). ID (2). MI (11). WY (0). CT (6). PA (27).

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ACTION Registry-GWTG Results: January 1, 2009 – December 31, 2009

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  1. ACTION Registry-GWTG Results:January 1, 2009 – December 31, 2009

  2. Current Site Distribution Active Sites = 539 WA (8) ME (1) VT (0) ND (1) MT (2) MI NH (1) MN (6) NY (18) OR (10) MA (6) WI (7) SD (1) RI (1) ID (2) MI (11) WY (0) CT (6) PA (27) IA (6) NJ (6) NE (6) OH (30) DE (0) NV (7) IL (33) IN (17) WV (1) MD (12) VA (13) UT (2) CO (13) KY (4) MO (18) KS (9) DC (0) CA (36) NC (25) TN (19) SC (12) OK (7) AR (1) AZ (5) NM (2) AL (9) GA (14) MS (6) LA (7) TX (64) FL (36) AK (1) PR(2) HI (4) Last updated: 4/13/2010

  3. Baseline Characteristics - STEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  4. Hospital Presentation Characteristics - STEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  5. In-Hospital Outcomes - STEMI *Unadjusted mortality ** Among non-CABG pts ACTION Registry-GWTG DATA: January 1.2009 – December 31, 2009

  6. Use of Reperfusion Therapy for STEMI STEMI N = 23,190 Reperfusion N = 18,871 (81%) Not Eligible for Reperfusion Therapy Contraindication Listed N= 2,898 (13%) No Reperfusion – No Contraindication Listed N = 1333 (6%) Primary PCI – 88%* Fibrinolytics – 11%* Both PCI + Lytics – 1%* 94% of eligible patients reperfused ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009 * Among patients receiving reperfusion

  7. STEMI – Door to Balloon and Door to Needle Times:Cumulative 12 Month Data ACTION Registry-GWTG DATA: January 1,2009 – December 31, 2009 DTB = 1st Door to Balloon for Primary PCI DTN = Door to Needle for Lytics

  8. STEMI Primary PCI Results -Non-Transfer Patients with DTB  90 mins 73% of the primary PCI patients are not transferred in

  9. STEMI Primary PCI Results - DTB Benchmarks for Transfer-In Patients 1st Door to Balloon < 90 Minutes 1st Door to Balloon < 120 Minutes 27% of the primary PCI patients are transferred in

  10. STEMI Door-to-Balloon Times –Median Times for Transfer In and Non-Transfer In Patients 250 240 230 220 210 200 190 180 170 160 159 150 147 Time (min) 143 140 142 130 123 117 120 113 112 110 100 96 91 96 90 79 92 77 77 80 76 63 70 61 62 60 62 49 50 48 48 40 48 30 20 10 0 Q1 09 Q2 09 Q3 09 Q4 09 Transfer in DTB Times Non-Transfer in DTB Times

  11. STEMI Acute (< 24 hrs) Medications * Heparin and GP IIb-IIIa administered any time during hospitalization ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009 n

  12. STEMI Revascularization Strategy Trends MedicallyManaged PCI CABG ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  13. STEMI Discharge Medications % Use ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  14. STEMI Discharge Interventions ACTION Registry-GWTG DATA: January 1,2009 – December 31, 2009

  15. Baseline Characteristics - NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  16. Hospital Presentation Characteristics -NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  17. In-Hospital Outcomes - NSTEMI *Unadjusted mortality ** Among non-CABG pts ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  18. NSTEMI Acute (< 24 hrs) Medications * Heparin and GP IIb-IIIa administered any time during hospitalization ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  19. NSTEMI Time from Presentation to Procedure ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  20. NSTEMI Acute Medication Overdosing Trends * Infusion (> 15 units/kg/hr) or bolus (> 70 units/kg) # Initial dose (> 1.05 mg/kg) or total 24 hr dose (> 10 mg over recommended) ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  21. NSTEMI Invasive Cardiac Procedures ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  22. NSTEMI Revascularization Strategy Trends Medically Managed PCI CABG ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  23. NSTEMI Discharge Medications ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  24. NSTEMI Discharge Clopidogrel Use byRevascularization Strategies ACTION Registry-GWTG DATA: January 1, 2009– December 31, 2009

  25. NSTEMI Discharge Interventions ACTION Registry-GWTG DATA: January 1, 2009– December 31, 2009

  26. Baseline Characteristics –STEMI vs. NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  27. Age Distribution –STEMI vs. NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  28. Location of First Evaluation –STEMI vs. NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  29. Hospital Presentation Characteristics - STEMI vs. NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  30. In-Hospital Outcomes - STEMI vs. NSTEMI *Unadjusted mortality ** Among non-CABG pts ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  31. Non-CABG Major Bleeding and Transfusion –STEMI vs. NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  32. Acute Medications - STEMI vs NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  33. Discharge Medications - STEMI vs NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

  34. Discharge Interventions – STEMI vs. NSTEMI ACTION Registry-GWTG DATA: January 1, 2009 – December 31, 2009

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