25
Acute myocardial infarction ( AMI ) performance
AMI Performance
US Registry * 75th percentile
BSWHVH - DALLAS
Overall AMI performance composite 97.9 % 99.1 % Overall defect-free care ** 87.2 % 93.9 %
In-hospital risk standardized mortality ( All AMI patients )
In-hospital risk standardized mortality ( All AMI patients , excluding cardiac arrest )
4.52 4.29
3.64 3.45 Discharge AMI performance composite 98.1 % 99 % NSTEMI performance composite 97.8 % 99 % STEMI performance composite 98.6 % 99.2 %
AMI Performance
US Registry median
BSWHVH - DALLAS
Acute AMI performance composite 98.2 % 99.5 %
Source R4Q 2023Q ! * National Cardiovascular Database and Registry ( NCDR ) Baylor Scott & White Heart and Vascular Hospital – Dallas . Source : R4Q through 2022 Q1 published information . ** Defect-free care includes beta blocker prescribed at discharge , ACE-I or ARB for LVSD at discharge , aspirin at arrival and at discharge .
Better , same , worse than US Registry 75th percentile
Better
Better , same , worse than US Registry median
Better
Transradial cardiac catheterization
Millions of heart catheterizations are completed in this country every year . It is a foundational safe and effective procedure to identify and treat heart blockages . Generally , the procedure is performed from a puncture in the leg . However , studies have shown that entering through the wrist , using the transradial approach , physicians can achieve the same results with a shorter hospital stay and with less bleeding or discomfort .
YEAR IN REVIEW ( FY2023 )
Overall AMI composite score
99.1 %*
* for STEMI patients on acute discharge and performance metrics
Total AMIs
262
STEMIs
144
NSTEMI
118
Total number of transfers 97
Median door-toballoon time 69
Minutes
Baylor Scott & White Heart and Vascular Hospital - Dallas | INTERVENTIONAL CARDIOLOGY
A standard offering for many patients since 1996 on the Dallas campus , more than 40 % of the total coronary angioplasties were performed via a transradial approach in fiscal year 2023 . The transradial approach does not require strict bedrest as is usual for a catheterization from the leg . Patients can eat almost immediately and are able to go home in a few hours . For some patients lying motionless on their back for up to eight hours post-procedure may be challenging ; patients typically resume normal activities in a few days .
Related article :
Hebert , CA , Rosenthal , RL , Schussler , JM . Transradial Renal Angioplasty and Stent Placement for Systemic Hypertension Caused by Severe Unilateral Renovascular Stenosis . Case Reports Cureus 2023 Feb 8 ; 15 ( 2 ).
DeSa , TB , Sudhakaran S , Schussler , JM , Brilakis , ES . The Evolving Role of Transradial Access in Chronic Total Occlusion Percutaneous Coronary Intervention . Editorial . Am J Cardiol 2023 April 1 ; 192:258-260 .
The Joint Commission Chest Pain Certification
Baylor Scott & White Heart and Vascular Hospital - Dallas , together with Baylor University Medical Center , achieved certification by The Joint Commission for Chest Pain .
Platinum Performance Achievement Award
Baylor Scott & White Heart and Vascular Hospital – Dallas has demonstrated sustained achievement in the Chest Pain – MI Registry and performed at the highest level for specific performance measures to receive this award .