Emergency procedural pathway combined with graded zoning management is associated with improved in-hospital survival and quality of life in patients with acute myocardial infarction - Report - MDSpire

Emergency procedural pathway combined with graded zoning management is associated with improved in-hospital survival and quality of life in patients with acute myocardial infarction

  • By

  • Xiaoyan Song

  • Ying Ma

  • Yadong Shang

  • Changchang Zhao

  • Renli Cheng

  • July 6, 2026

  • 0 min

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Clinical Report: Integration of Emergency Procedural Pathways with Graded Zoning Management

Overview

The integration of emergency procedural pathways with graded zoning management was associated with improved in-hospital survival rates and quality of life for acute myocardial infarction patients, as indicated by the study findings.

Background

Acute myocardial infarction (AMI) is a critical condition that requires immediate intervention to prevent mortality. Delays in triage and treatment in busy emergency departments can adversely affect patient outcomes. Implementing structured care pathways can potentially reduce these delays and improve survival rates.

Data Highlights

OutcomeIntervention Group (IG)Control Group (CG)P-value
In-hospital survival96.8%81.3%0.008
First-aid time (min)67.30 ± 3.9075.70 ± 4.50< 0.001
Hospital stay (days)14.62 ± 2.0518.08 ± 4.55< 0.001
MACE6.5%18.8%0.045
Patient satisfaction87.1%65.6%0.005

Key Findings

  • In-hospital survival was higher in the intervention group (96.8%) compared to the control group (81.3%).
  • First-aid time was reduced by an average of 8.4 minutes in the intervention group.
  • The average hospital stay was shorter by 3.46 days in the intervention group.
  • Major adverse cardiovascular events (MACE) were lower in the intervention group (6.5%) compared to the control group (18.8%).
  • Patient satisfaction was higher in the intervention group (87.1%) compared to the control group (65.6%).

Clinical Implications

The findings indicate that emergency procedural pathways with graded zoning management were associated with improved survival and quality of life for AMI patients.

Conclusion

This study indicates that a structured emergency care approach was associated with improved survival rates and quality of life for patients with acute myocardial infarction.

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  4. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes - Professional Heart Daily | American Heart Association
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  7. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes - Professional Heart Daily | American Heart Association
  8. Effectiveness of STEMI networks with out-of-hospital triage: a systematic review and meta-analysis - ScienceDirect
  9. Effective strategies for reducing patient length of stay in the emergency department: a systematic review and meta-analysis | BMC Emergency Medicine | Springer Nature Link

Original Source(s)

Emergency procedural pathway combined with graded zoning management is associated with improved in-hospital survival and quality of life in patients with acute myocardial infarction

  • by Xiaoyan Song, Ying Ma, Yadong Shang, Changchang Zhao, Renli Cheng

  • July 6, 2026

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