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s S11 METHODS: All patients diagnosed with STEMI and receiving thrombolytics between December 31, 2010 and June 29, 2013 were considered. D2EKG time was defined as the time of admission to Emergency Department to time of diagnostic EKG. D2N time was defined as time of admission to Emergency Department to time that thrombolytics were given. “On-hours” was defined as 8:00am-5:00pm Monday-Sunday, while all other times were considered ‘Off Hours’. Data were obtained from the New Brunswick Heart Centre STEMI database. RESULTS: A total of 843 patients were included in the analysis. 647 (76.9%) were male. Mean age was 60.4 11.6 years. Mean D2EKG time was 20.3 minutes and mean D2N time was 47.4 minutes. The percentage of patients who had a D2EKG time 10 minutes was 51.7% (436). The percentage of patients with a D2N time 30 minutes was 47.7% (402). (Table 1) There were no significant differences in D2EKG and D2N times between patients presenting during onand during off-hours. (Table 1) CONCLUSION: Patients who presented to the Emergency Department with STEMI in New Brunswick only met benchmark guidelines for D2EKG and D2N approximatelyw50% of the time. Furthermore, no significant differences in D2EKG and D2N were found between Onand Offhour presentations. These results suggest that significant limitations in access to care are found across the province for patients presenting with STEMI regardless of the time of presentation, and that improvements in processes of care are needed to reduce times to intervention to thereby improve patient outcomes. 021 TREATMENT DELAYS ON HOURS VERSUS OFF HOURS IN PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION ACROSS ALL HOSPITALS PERFORMING PRIMARY ANGIOPLASTY IN QUEBEC, CANADA: RESULTS OF A THIRD FIELD EVALUATION LJ Lambert, L Azzi, R Harvey, S Kouz, PL L’Allier, S Maire, N Racine, S Rinfret, D Ross, E Segal, C Carroll, C Beauchamp, LJ Boothroyd, P Bogaty |
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