IJCS | Volume 31, Nº4, July / August 2018

341 Figure 1 - Domains analyzed in the VICTIM Registry. STEMI: ST-segment elevation myocardial infarction; PCI: percutaneous coronary intervention; CABG: coronary artery bypass grafting; AMI: acute myocardial infarction. POST-DISCHARGE HEALTHCARE QUALITY - Access to specialized consultation - Post-discharge recommendation: diet and cardiovascular rehabilitation CLINICAL OUTCOMES - Cardiovascular mortality - Non-cardiovascular mortality - Heart failure - Cardiogenic shock - Stroke - Reinfarction - Bleeding HEALTHCARE QUALITY AT THE REFERRAL CENTER - Rate of use of class I drug - Rate of echocardiography - Rate of coronary angiography - Rate of primary PCI - Rate of non-primary PCI - Rate of CABG - Length of hospital stay EPIDEMIOLOGY OF STEMI AT REFERRAL HOSPITALS - Sociodemographic data - Cardiovascular risk factors - Pathological antecedents - Cardiovascular status on arrival: GRACE, Killip - Rate of patients with left ventricular dysfunction PRE-HOSPITAL QUALITY - Previous use of secondary prevention for AMI/stroke - Patient’s responsiveness: pain time – call for help - System’s responsiveness: call for help – arrival at the referral hospital - Total responsiveness: pain time – arrival at the referral hospital - Fibrinolysis on the way to the referral hospital - Arrival at the referral hospital < 12 hours - Arrival at the referral hospital < 24 hours - Number of institutions visited before arriving at the referral hospital Oliveira et al VICTIM Registry Int J Cardiovasc Sci. 2018;31(4)339-358 Original Article During that period, 319 patients were included in the study, 274 from the public healthcare and 45 from the private healthcare. During that phase, the variables to be collected were defined, the collection tool was refined (Annex A), and the logistic of data collectionwas adjusted regarding the number of field researchers, their training in the field and their allocation to the centers. In December 2014, data collection finally started to feed the VICTIM Registry, an ongoing phase for greater sample representativeness. To participate in the study, the field researcher should undergo training, consisting of a formal presentation of the research’s objectives and the data collection methodology, by using the appropriate tool. Then, each investigator underwent a supervised training with the study coordinator at the hospital of allocation to become acquainted with the research site and its functioning routines, in addition to being instructed on data collection. After that basic training, the researchers could undertake their specific tasks. Whenever necessary, the members of the teams underwent updating trainings aimed at refining the technique of data collection. Since the beginning of the post-pilot phase, the coordinators have taken constant and very good care of data collection. Methods Hospitals of the state of Sergipe included in the VICTIM Registry Sergipe is the smallest state of Brazil, occupies an area of 21,918.454 km², has 75 municipalities, the city of Aracaju is the capital, and the Metropolitan region includes themunicipalities of Barra dos Coqueiros, Nossa Senhora do Socorro and São Cristóvão. 17 The state has 34 general hospitals, 14 of which are public hospitals, 10 are philanthropic hospitals and 10 are private hospitals. 18 The VICTIM Registry portrays the care provided to patients with STEMI admitted to the four cardiovascular hospitals of Sergipe that have interventional cardiology services. All of them are located in the city of Aracaju, one provides care to the users of SUS (hospital 1), and three are private hospitals that provide care to users of the supplemental healthcare system (hospitals 2, 3 and 4) (Table 1). All four hospitals can perform primary angioplasty and heart surgery seven days a week. In the VICTIM Registry, the public hospital is philanthropic, but has no direct entrance to the emergency unit. The users of SUS have access to that public hospital through referral fromanother health unit.