Predictors of primary percutaneous coronary intervention delay in cases of myocardial infarction diagnosed in hospitals without hemodynamic support systems
| Autor: | Ruiz, AC, Utset, JM, Ariza-Sole, A, Gomez-Hospital, JA, Carrillo, X, Tizon, H, Garcia-Picart, J, Regueiro, A, Munoz-Camacho, JF, Lidon, RM, Fabrega, XJ, Mauri, F |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Emergencias r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname |
| ISSN: | 1137-6821 |
| Popis: | Objetive. The need for primary percutaneous coronary intervention in hospitals without hemodynamic support capability is associated with delays between first medical contact (FMC) and reperfusion. It is important to identify factors involved in delays, particularly if they are relevant to the organization of emergency services. Methods. Analysis of a registry of patients treated in hospitals without advanced hemodynamic support systems in a catchment area with an established care network for acute ST-segment elevation myocardial infarction (STEMI). The registry included care times. Results. The network served 2542 patients with a mean (SD) age of 63(13) years. FMC-to-reperfusion time was within 120 minutes in 42% of the cases. Nine of the hospitals had a chest-pain unit in the emergency department, and this factor was an independent predictor of FMC-to-reperfusion times of 120 minutes or less (odds ratio, 0.64; 95% Cl, 0.54-0.77; P |
| Databáze: | OpenAIRE |
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