Are acute coronary syndrome patients admitted during off-duty hours treated differently? An analysis of the Saudi Project for Assessment of Acute Coronary Syndrome (SPACE) study
| Autor: | Taraben An, Anhar Ullah, Khalid F. AlHabib, Asif Malik, Hersia As, Khalid AlNemer, Al Faleh Hf, Lukman Thalib, Layth Mimish, Ahmed Abuosa, Shukri AlSaif |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Acute coronary syndrome Time Factors Duty hours Myocardial Infarction Personnel Staffing and Scheduling Saudi Arabia lcsh:Medicine After-Hours Care Fibrinolytic Agents medicine Humans Hospital Mortality Prospective Studies Acute Coronary Syndrome Angioplasty Balloon Coronary Intensive care medicine Aged Heart Failure business.industry lcsh:R General Medicine Middle Aged medicine.disease Hospitalization Treatment Outcome Female business Delivery of Health Care |
| Zdroj: | Annals of Saudi Medicine, Vol 32, Iss 4, Pp 366-371 (2012) |
| ISSN: | 0975-4466 0256-4947 |
| DOI: | 10.5144/0256-4947.2012.366 |
| Popis: | BACKGROUND AND OBJECTIVES: It is often suggested that acute coronary syndrome (ACS) patients admitted during off-duty hours (OH) have a worse clinical outcome than those admitted during regular working hours (RH). Our objective was to compare the management and hospital outcomes of ACS patients admitted during OH with those admitted during RH. DESIGN AND SETTING: Prospective observational study of ACS patients enrolled in the Saudi Project for Assessment of Acute Coronary Syndrome study from December 2005 to December 2007. PATIENTS AND METHODS: ACS patients with available date and admission times were included. RH were defined as weekdays, 8 AM-5 PM, and OH was defined as weekdays 5 PM-8 AM, weekends, during Eid (a period of several days marking the end of two major Islamic holidays), and national days. RESULTS: Of the 2825 patients qualifying for this analysis, 1016 (36%) were admitted during RH and 1809 (64%) during OH. OH patients were more likely to present with heart failure and ST elevation myocardial infarction (STEMI) and to receive fibrinolytic therapy, but were less likely to undergo primary percutaneous coronary interventions (PCI). The median door to balloon time was significantly longer (P |
| Databáze: | OpenAIRE |
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