Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study
BackgroundRecent evidence suggests hospitals fail to meet guideline specified time to percutaneous coronary intervention (PCI) for a proportion of ST elevation myocardial infarction (STEMI) presentations. Implicit in achieving this time is the rapid assembly of crucial catheter laboratory staff. As...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2018-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fcvm.2017.00089/full |
| _version_ | 1818873374911234048 |
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| author | Justin Cole Justin Cole Richard Beare Richard Beare Thanh G. Phan Velandai Srikanth Andrew MacIsaac Christianne Tan David Tong Susan Yee Jesslyn Ho Jamie Layland Jamie Layland Jamie Layland |
| author_facet | Justin Cole Justin Cole Richard Beare Richard Beare Thanh G. Phan Velandai Srikanth Andrew MacIsaac Christianne Tan David Tong Susan Yee Jesslyn Ho Jamie Layland Jamie Layland Jamie Layland |
| author_sort | Justin Cole |
| collection | DOAJ |
| description | BackgroundRecent evidence suggests hospitals fail to meet guideline specified time to percutaneous coronary intervention (PCI) for a proportion of ST elevation myocardial infarction (STEMI) presentations. Implicit in achieving this time is the rapid assembly of crucial catheter laboratory staff. As a proof-of-concept, we set out to create regional maps that graphically show the impact of traffic congestion and distance to destination on staff recall travel times for STEMI, thereby producing a resource that could be used by staff to improve reperfusion time for STEMI.MethodsTravel times for staff recalled to one inner and one outer metropolitan hospital at midnight, 6 p.m., and 7 a.m. were estimated using Google Maps Application Programming Interface. Computer modeling predictions were overlaid on metropolitan maps showing color coded staff recall travel times for STEMI, occurring within non-peak and peak hour traffic congestion times.ResultsInner metropolitan hospital staff recall travel times were more affected by traffic congestion compared with outer metropolitan times, and the latter was more affected by distance. The estimated mean travel times to hospital during peak hour were greater than midnight travel times by 13.4 min to the inner and 6.0 min to the outer metropolitan hospital at 6 p.m. (p < 0.001). At 7 a.m., the mean difference was 9.5 min to the inner and 3.6 min to the outer metropolitan hospital (p < 0.001). Only 45% of inner metropolitan staff were predicted to arrive within 30 min at 6 p.m. compared with 100% at midnight (p < 0.001), and 56% of outer metropolitan staff at 6 p.m. (p = 0.021).ConclusionOur results show that integration of map software with traffic congestion data, distance to destination and travel time can predict optimal residence of staff when on-call for PCI. |
| first_indexed | 2024-12-19T12:53:42Z |
| format | Article |
| id | doaj.art-37c3f456f2864ba4add994a5e773dd3c |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-19T12:53:42Z |
| publishDate | 2018-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-37c3f456f2864ba4add994a5e773dd3c2022-12-21T20:20:27ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2018-01-01410.3389/fcvm.2017.00089319464Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software StudyJustin Cole0Justin Cole1Richard Beare2Richard Beare3Thanh G. Phan4Velandai Srikanth5Andrew MacIsaac6Christianne Tan7David Tong8Susan Yee9Jesslyn Ho10Jamie Layland11Jamie Layland12Jamie Layland13Peninsula Health Heart Service, Frankston, VIC, AustraliaPeninsula Clinical School, Monash University, Melbourne, VIC, AustraliaPeninsula Clinical School, Monash University, Melbourne, VIC, AustraliaDevelopmental Imaging, Murdoch Children’s Research Institute, Parkville, VIC, AustraliaSchool of Clinical Sciences, Monash Health, Monash University, Melbourne, VIC, AustraliaPeninsula Clinical School, Monash University, Melbourne, VIC, AustraliaDepartment of Cardiology, St Vincent’s Hospital, Melbourne, VIC, AustraliaPeninsula Health Heart Service, Frankston, VIC, AustraliaPeninsula Health Heart Service, Frankston, VIC, AustraliaSchool of Medicine, Monash University, Melbourne, VIC, AustraliaSchool of Medicine, Monash University, Melbourne, VIC, AustraliaPeninsula Health Heart Service, Frankston, VIC, AustraliaPeninsula Clinical School, Monash University, Melbourne, VIC, AustraliaDepartment of Cardiology, St Vincent’s Hospital, Melbourne, VIC, AustraliaBackgroundRecent evidence suggests hospitals fail to meet guideline specified time to percutaneous coronary intervention (PCI) for a proportion of ST elevation myocardial infarction (STEMI) presentations. Implicit in achieving this time is the rapid assembly of crucial catheter laboratory staff. As a proof-of-concept, we set out to create regional maps that graphically show the impact of traffic congestion and distance to destination on staff recall travel times for STEMI, thereby producing a resource that could be used by staff to improve reperfusion time for STEMI.MethodsTravel times for staff recalled to one inner and one outer metropolitan hospital at midnight, 6 p.m., and 7 a.m. were estimated using Google Maps Application Programming Interface. Computer modeling predictions were overlaid on metropolitan maps showing color coded staff recall travel times for STEMI, occurring within non-peak and peak hour traffic congestion times.ResultsInner metropolitan hospital staff recall travel times were more affected by traffic congestion compared with outer metropolitan times, and the latter was more affected by distance. The estimated mean travel times to hospital during peak hour were greater than midnight travel times by 13.4 min to the inner and 6.0 min to the outer metropolitan hospital at 6 p.m. (p < 0.001). At 7 a.m., the mean difference was 9.5 min to the inner and 3.6 min to the outer metropolitan hospital (p < 0.001). Only 45% of inner metropolitan staff were predicted to arrive within 30 min at 6 p.m. compared with 100% at midnight (p < 0.001), and 56% of outer metropolitan staff at 6 p.m. (p = 0.021).ConclusionOur results show that integration of map software with traffic congestion data, distance to destination and travel time can predict optimal residence of staff when on-call for PCI.http://journal.frontiersin.org/article/10.3389/fcvm.2017.00089/fullST elevation myocardial infarctiontime to percutaneous coronary interventionST elevation myocardial infarction protocolstaff travel timecatheterization laboratory activation |
| spellingShingle | Justin Cole Justin Cole Richard Beare Richard Beare Thanh G. Phan Velandai Srikanth Andrew MacIsaac Christianne Tan David Tong Susan Yee Jesslyn Ho Jamie Layland Jamie Layland Jamie Layland Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study Frontiers in Cardiovascular Medicine ST elevation myocardial infarction time to percutaneous coronary intervention ST elevation myocardial infarction protocol staff travel time catheterization laboratory activation |
| title | Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study |
| title_full | Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study |
| title_fullStr | Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study |
| title_full_unstemmed | Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study |
| title_short | Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by Traffic Congestion and Distance: A Digitally Integrated Map Software Study |
| title_sort | staff recall travel time for st elevation myocardial infarction impacted by traffic congestion and distance a digitally integrated map software study |
| topic | ST elevation myocardial infarction time to percutaneous coronary intervention ST elevation myocardial infarction protocol staff travel time catheterization laboratory activation |
| url | http://journal.frontiersin.org/article/10.3389/fcvm.2017.00089/full |
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