Door-to-Balloon Times Under 90 Min Can Be Routinely Achieved for Patients Transferred for ST-Segment Elevation Myocardial Infarction Percutaneous Coronary Intervention in a Rural Setting
In: Journal of the American College of Cardiology, Jg. 57 (2011), S. 272-279
Online
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Zugriff:
ObjectivesThe purpose of this study was to demonstrate the feasibility of routine transfer of ST-segment elevation myocardial infarction (STEMI) patients to achieve percutaneous coronary intervention (PCI) in less than 90 min from presentation.BackgroundMany PCI hospitals have achieved routine door-to-balloon times under 90 min for patients with STEMI presenting directly to the hospital. However, few patients transferred from a non-PCI center undergo PCI within 90 min of presentation.MethodsOur rural PCI hospital implemented a program in 2005 for rapid triage, transfer, and treatment of STEMI patients and made additional improvements in 2006 and 2007. Intervals between milestones in the STEMI triage/transfer/treatment process were assessed before and after implementation of the program.ResultsDuring the 5-year study period, 676 patients with 687 STEMIs were transferred from 19 community hospitals and underwent PCI. Median door-to-balloon time decreased from 189 min to 88 min (p < 0.001). The time intervals reflecting efficiency of the referring hospitals, transfer services, and PCI hospital all significantly improved. In 2008, median door-to-balloon times were
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Door-to-Balloon Times Under 90 Min Can Be Routinely Achieved for Patients Transferred for ST-Segment Elevation Myocardial Infarction Percutaneous Coronary Intervention in a Rural Setting
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Autor/in / Beteiligte Person: | Donegan, Michael A. ; Buckley, Jeremy W. ; John McB. Hodgson ; Skelding, Kimberly A. ; Berger, Peter B. ; Tompkins-Weber, Karen ; Sledgen, Marie Y. ; Sartorius, Jennifer ; Haldis, Thomas A. ; Scott, Thomas D. ; Blankenship, James C. |
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Zeitschrift: | Journal of the American College of Cardiology, Jg. 57 (2011), S. 272-279 |
Veröffentlichung: | Elsevier BV, 2011 |
Medientyp: | unknown |
ISSN: | 0735-1097 (print) |
DOI: | 10.1016/j.jacc.2010.06.056 |
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