This trial will prospectively evaluate the impact of integrating AI-ECG within the pay-for-performance program on improving the diagnosis, treatment, and clinical outcomes of occlusion myocardial infarction patients by promoting accurate and timely diagnoses through financial incentives.
Patients in the emergency department
Patients received at least 1 ECG examination.
The patients received ECG at the period of inactive AI-ECG system.
Patients with a history of coronary angiography within the past 3 days.
Parallel
AI-ECG P4P program
Other interventionThe AI-ECG system will conduct a real-time analysis of the ECG. When the system identifies potential OMI cases, it will immediately send short message service notifications to the on-duty cardiologists. This will enable the cardiologists to promptly review and confirm the diagnosis.
D-to-W time (Door to Wire Time)
Door-to-wire time refers to the duration from a patient's arrival at the emergency department (ED) to the successful placement of a wire into the coronary artery during a primary percutaneous coronary intervention (PPCI) procedure.
Cost Outcome Measure
Total expenditures, from the start of the emergency visit to 90 days post-discharge (in USD), for comparison between the intervention and control groups, based on records from NHI (National Health Insurance) claims data.
Door-to-Wire time less than 90 minutes
The proportion of patients achieving a Door-to-Wire time of less than 90 minutes in the intervention group compared to the control group. The intervention and control groups' door-to-wire time will be compared. Door-to-wire time is defined as the duration from the first ECG to the successful placement of the wire during PPCI for OMI patients in the emergent department.
In-hospital all-cause Mortality Rate
The proportion of patients who die from any cause, regardless of the underlying condition, during hospitalization.
In-hospital cardiac death
The proportion of patients who die from cardiovascular-related causes during hospitalization.
Length of ICU
Comparison of length of ICU between the intervention and control groups.
Emergent CAG without PCI
The number of patients who received emergent coronary angiograms without lesions need intervention.
Procedure related vascular complications
The number of patients who received a procedure with vascular complications.
Contrast-induced acute kidney injury
The number of patients who received a procedure with contrast-induced acute kidney injury.
Procedure related mortality
The proportion of patients who die due to the procedure within 90 days.
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