AUDIT OF PRIMARY PCI IN AN INDIAN TERTIARY CARE CENTER

Our audit titled Primary Percutaneous Coronary Intervention in an Indian Tertiary Care Centre was conducted to assess the time taken for primary PCI for the patients presenting with chest pain to our hospital. The study was conducted in a tertiary care centre Peerless Hopsital and B.K.Roy research centre Kolkata, India. The sample size for the audit is 72. The study was conducted over a period of 1 year . According to European Society of Cardiology 2017 STEMI guidelines, maximum time from STEMI diagnosis to primary PCI in patients presenting to tertiary care centre should be within 60minutes(1hour) and delay accepted till 120minutes(2hours). From the above study period of 1 year, 29% of the patients have presented within 6 hours of onset of symptoms and 71% of patients presented after 6 hours. With this guideline reference, in our audit, we found that 21% of patients were sent for PCI within 120minutes from the time of diagnosis and 59% were sent within 6hours. Delay of PCI in some patients was due to patient attendants taking more time to admit the patients. Quick counselling of PCI patients/attendants to be done once PCI is planned to avoid delay. The EMS should be taught to diagnose STEMI before arrival to the hospital and so the time delay can be reduced. Awareness programs should be conducted regarding the early intervention strategy for cardiac patients in the community, which will decrease the arrival time to hospital.