Impact Analysis of an Early Reperfusion Project for Patients with ST-Elevation Acute Coronary Syndrome in the Public Area of Alto Valle de Rio Negro

Abstract

Introduction: the public hospitals of Rio Negro (RN) lack a system to enable the rapid treatment of ST-Elevation Acute Coronary Syndrome (STEMI). The ex -ante estimation of the impact of a project is valuable for the political decision to implement it. Objective: to estimate Life Years Gained (LYG) with an early reperfusion project. Materials and Methods: a counterfactual approach was used to estimate the LYG following the patient recruitment proportion observed in the Integrated Network of Rosario. Results: Projecting the patient recruitment observed in the Integrated Network, Rosario, 66.28 patients would be recruited within the first year, 99.43 in the second, 108.38 in the third, 123.55 in the fourth, and 131 in the last year. Reperfusion times would decrease from an average of 336 minutes (2017) to 240, 180, and 120 minutes by the end of the project. The LYG would increase from 4.75 LYG in the first year to 33.43 LYG in the last year, with a total of 95.34 LYG accumulated over 5 years. Conclusions: the impact of an early reperfusion project would improve the health situation, obtaining a total of 95.34 LYG over 5 years with 529 patients treated.