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To assess the associated health and socioeconomic impact, the Stent for Life economic project was launched and applied to four model regions: Romania, Portugal, the Basque Country in Spain, and the Kemerovo region in the Russian Federation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results:<\/jats:title><jats:p>The Stent for Life economic model is based on a decision tree that incorporates primary percutaneous coronary intervention rates and mortality. Healthcare costs and indirect costs caused by loss of productivity were estimated. A baseline scenario simulating the status quo was compared to the Stent for Life scenario which integrated changes initiated by the Stent for Life programme. In the four model regions, primary percutaneous coronary intervention numbers rose substantially between 29\u2013303%, while ST-elevation myocardial infarction mortality was reduced between 3\u201310%. Healthcare costs increased by 8% to 70%. Indirect cost savings ranged from 2\u20137%. Net societal costs were reduced in all model regions by 2\u20134%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>The joint effort of the Stent for Life initiative and their local partners successfully saves lives. Moreover, the increase in healthcare costs was outweighed by indirect cost savings, leading to a net cost reduction in all four model regions. These findings demonstrate that systematic investments to improve the access of ST-elevation myocardial infarction patients to guideline-coherent therapy is beneficial, not only for the individual, but also for the society at large.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2048872619853959","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:49:04Z","timestamp":1569545344000},"page":"902-910","update-policy":"http:\/\/dx.doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Systematic investment in the delivery of guideline-coherent therapy reduces mortality and overall costs in patients with ST-elevation myocardial infarction: Results from the Stent for Life economic model for Romania, Portugal, Basque Country and Kemerovo region"],"prefix":"10.1093","volume":"9","author":[{"given":"Bastian","family":"Wein","sequence":"first","affiliation":[{"name":"Heart and Vascular Center Oberallgaeu-Kempten, Germany (Member of the SANA Hospital Network) and Contilia Heart and Vascular Center, Elisabeth-Hospital Essen, Germany"}]},{"given":"Anna","family":"Bashkireva","sequence":"additional","affiliation":[{"name":"Siberian Association for Interventional Cardiologists, Russian Federation"}]},{"given":"Alex","family":"Au-Yeung","sequence":"additional","affiliation":[{"name":"Department of Health Economics, Policy & Payments, Medtronic Inc., Santa Rosa, USA, Medtronic Inc., USA"}]},{"given":"Adam","family":"Yoculan","sequence":"additional","affiliation":[{"name":"CRDN Finance, Medtronic Inc., Santa Rosa, USA"}]},{"given":"Dragos","family":"Vinereanu","sequence":"additional","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, University and Emergency Hospital Bucharest, Romania"}]},{"given":"Dan","family":"Deleanu","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Emergency Institute for Cardiovascular Diseases \u2018Prof. C. 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Iliescu\u2019 Bucharest, Romania"}]},{"given":"Helder","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Garcia de Orta, Almada, Portugal"}]},{"given":"Ernesto","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology, Hospital Garcia de Orta, Almada, Portugal"}]},{"given":"Sofia","family":"de Mello","sequence":"additional","affiliation":[{"name":"Universidade NOVA de Lisboa, Escola Nacional de Sa\u00fade P\u00fablica\/NOVA National of Public Health (ENSP\/NNSPH), Lisboa, Portugal"}]},{"given":"Jose R","family":"Rumoroso","sequence":"additional","affiliation":[{"name":"Servicio de Hemidinamica y Cardiolgia Intervencionista, Hospital Quironsalud Bizkaia, Spain"}]},{"given":"Vladimir","family":"Ganyukov","sequence":"additional","affiliation":[{"name":"Scientific Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia"}]},{"given":"William","family":"Wijns","sequence":"additional","affiliation":[{"name":"The Lambe Institute for Translational Medicine and Curam, National University of Ireland Galway, Ireland"}]},{"given":"Christoph K","family":"Naber","sequence":"additional","affiliation":[{"name":"Department of Medicine I, Hospital Wilhelmshaven, Germany"}]}],"member":"286","published-online":{"date-parts":[[2020,12,1]]},"reference":[{"key":"2021020117080238500_bibr1-2048872619853959","unstructured":"World Health Organization (WHO). 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