Inter-hospital transfer for primary angioplasty: delays are often due to diagnostic uncertainty rather than systems failure and universal time metrics may not be appropriate
| Autor: | Apps A, Robert Smith, Malhotra A, Mark Whitbread, Jason M. Tarkin, Charles Ilsley, Di Mario C, Tito Kabir, Rogers P, Miles Dalby, Mark Mason, Rebecca Lane |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Patient Transfer medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Primary angioplasty Suburban Health Services Risk profile Time-to-Treatment Electrocardiography Percutaneous Coronary Intervention Control theory Internal medicine London medicine Humans Myocardial infarction Angioplasty Balloon Coronary Retrospective Studies business.industry Percutaneous coronary intervention Guideline Middle Aged medicine.disease Triage Hospitals United Kingdom Cohort Cardiology Female Cardiology and Cardiovascular Medicine business Case analysis |
| Zdroj: | EuroIntervention. 11:511-517 |
| ISSN: | 1774-024X |
| DOI: | 10.4244/eijv11i5a103 |
| Popis: | AIMS We aimed to investigate why many patients with ST-segment elevation myocardial infarction (STEMI) initially present to non-primary percutaneous coronary intervention (PPCI) equipped hospitals in a region that offers a 24-hour direct access Heart Attack Centre. METHODS AND RESULTS A retrospective stratified consecutive case analysis was performed for 180 inter-hospital transfer (IHT) and 201 direct access PPCI patients. IHT and direct patients had similar age (61±1.8 years vs. 62±1.9 years, p=0.42), gender (76% vs. 78% male, p=0.64), and cardiovascular risk profile (hypertension 53% vs. 46%, p=0.18; hypercholesterolaemia 32% vs. 25%, p=0.22; and smoking 38% vs. 35%, p=0.56), though there were more diabetic patients in the IHT group (15% vs. 8%, p |
| Databáze: | OpenAIRE |
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