PURPOSES: We performed this study to assess the impact of pre-hospital time on the patient's outcome. PROCEDURES: Starting from the symptoms onset, "total time to treatment" was divided into less than or equal to 120 minutes and more than 120 minutes ("pre-hospital time" of ≤ or > 30 minutes respectively). Adverse patient's outcomes were compared in the two subgroups. FINDINGS: Our patients had a mean age of 63 (±13) years. On-scene time (17.8 ± 9.4 minutes), was the biggest fraction of "pre-hospital time". Comparing the groups with "Total time to treatment" of >120 minutes vs. ±120 minutes ("pre-hospital time" of >30 vs. ≤30 minutes), mortalities were 4 vs. 0 and transfers to a tertiary care facility were 3 vs.1. CONCLUSIONS: Most of the pre-hospital time in STEMI was spent on the scene and we suggest "total time to treatment" as a core measure instead of "door to balloon time".
PURPOSES: We performed this study to assess the impact of pre-hospital time on the patient's outcome. PROCEDURES: Starting from the symptoms onset, "total time to treatment" was divided into less than or equal to 120 minutes and more than 120 minutes ("pre-hospital time" of ≤ or > 30 minutes respectively). Adverse patient's outcomes were compared in the two subgroups. FINDINGS: Our patients had a mean age of 63 (±13) years. On-scene time (17.8 ± 9.4 minutes), was the biggest fraction of "pre-hospital time". Comparing the groups with "Total time to treatment" of >120 minutes vs. ±120 minutes ("pre-hospital time" of >30 vs. ≤30 minutes), mortalities were 4 vs. 0 and transfers to a tertiary care facility were 3 vs.1. CONCLUSIONS: Most of the pre-hospital time in STEMI was spent on the scene and we suggest "total time to treatment" as a core measure instead of "door to balloon time".
Authors: Aliza T Brown; Feifei Wei; William C Culp; Greg Brown; Ryan Tyler; Appathurai Balamurugan; Nicolas Bianchi Journal: Am J Emerg Med Date: 2016-06-14 Impact factor: 2.469
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Authors: Yoo Seok Park; Sung Phil Chung; Je Sung You; Min Joung Kim; Hyun Soo Chung; Jung Hwa Hong; Hye Sun Lee; Jinwon Wang; Incheol Park Journal: BMJ Open Date: 2016-08-16 Impact factor: 2.692