Original Articles
Vol. 43 No. 1 (2026)
Retrospective study on the pre-hospital management of acute myocardial infarction in the province of Piacenza and 30-day mortality analysis: focus on nurse-led teams
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Published: 18 March 2026
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Introduction: in Italy the pre-hospital emergency system varies in terms of organisational models and team composition. The most widespread model, as in Piacenza, is the ‘hybrid’ model. Primary objective: to describe the management of patients with STEMI with focus on nursing and medical leadership teams. Secondary objective: to analyse 30-day mortality.
Materials and Methods: the present study is a retrospective, descriptive, single-centre study conducted over the three-year period 2021-2023. Data were extracted from the STEMI registry. Parametric and non-parametric tests were used to analyse the following variables: ECG performance, therapy administration, severity codes and mortality.
Results: a total of 292 patients were included, the majority managed by nursing-led teams (58.9%). There was no statistically significant difference in mortality between nursing and medical teams (p=0.198). A significant reduction in mortality was observed in patients who received complete therapy according to PDTA (p=0.011).
Discussion: nursing care is confirmed as safe and effective, with outcomes comparable to those of the medical teams. Adherence to PDTA is associated with a significant reduction in mortality.
Conclusion: the hybrid model adopted in Piacenza proves reliable in the pre-hospital management of patients with STEMI.
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How to Cite
Retrospective study on the pre-hospital management of acute myocardial infarction in the province of Piacenza and 30-day mortality analysis: focus on nurse-led teams. (2026). Scenario® - Il Nursing Nella Sopravvivenza, 43(1). https://doi.org/10.4081/scenario.2026.645
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