Complication during transportation and 30 days mortality of patients with acute coronary syndrome
Abstract Background Patients with acute coronary syndrome (ACS) who present to hospitals without interventional facilities frequently require transfer to another hospital equipped with a cardiac catheterization laboratory. This retrospective cohort study evaluates the association of the type of medi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-01-01
|
| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-020-01327-1 |
| _version_ | 1819297384058847232 |
|---|---|
| author | Michał Czapla Dorota Zyśko Tom Quinn Piotr Karniej |
| author_facet | Michał Czapla Dorota Zyśko Tom Quinn Piotr Karniej |
| author_sort | Michał Czapla |
| collection | DOAJ |
| description | Abstract Background Patients with acute coronary syndrome (ACS) who present to hospitals without interventional facilities frequently require transfer to another hospital equipped with a cardiac catheterization laboratory. This retrospective cohort study evaluates the association of the type of medical transport with patient outcomes. Methods A retrospective analysis of medical records of patients with ACS transported by basic (BT) and specialist transfer (ST) by emergency medical teams (EMTs). We analyzed age, gender, hemodynamic parameters, type of the emergency medical team, and complications during transport as well as patient survival to hospital admission, survival time and the 30-day mortality rate. Results Of 500 patients who underwent transfer, ST transported 368 (73.6%) and BT 132 (26.4%) patients (p < 0.001). Complications during transportation occurred in 3 (1%) in the ST group and 2 (1.5%) in and BT group. Cardiac arrest during transfer occurred in no (0%) patients in the ST group, and 2 (1.5%) in the BT group (p = 0.118). Survival to admission was recorded in all patients in the ST group and 131/132 (0.8%) patients in the BT group (p = 0.592). 40 (12%) of patients in the ST group and 13 (11%) patients in the BT group (p = 0.731) died within 30 days of transfer. Conclusions Complications during medical transport of ACS patients from hospitals without a cardiac catheter lab to hospitals equipped with such a lab were rare and their incidence was not associated with the type of transporting EMT. The type of EMT was not associated with 30-day patient mortality. |
| first_indexed | 2024-12-24T05:13:09Z |
| format | Article |
| id | doaj.art-5168be31260c4f32869333947a4356dd |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-24T05:13:09Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-5168be31260c4f32869333947a4356dd2022-12-21T17:13:38ZengBMCBMC Cardiovascular Disorders1471-22612020-01-012011710.1186/s12872-020-01327-1Complication during transportation and 30 days mortality of patients with acute coronary syndromeMichał Czapla0Dorota Zyśko1Tom Quinn2Piotr Karniej3Department of Organisation and Management, Faculty of Health Sciences, Wroclaw Medical UniversityDepartment of Emergency Medicine, Faculty of Health Sciences, Wroclaw Medical UniversityFaculty of Health, Social Care and Education Kingston University and St George’s, University of LondonDepartment of Organisation and Management, Faculty of Health Sciences, Wroclaw Medical UniversityAbstract Background Patients with acute coronary syndrome (ACS) who present to hospitals without interventional facilities frequently require transfer to another hospital equipped with a cardiac catheterization laboratory. This retrospective cohort study evaluates the association of the type of medical transport with patient outcomes. Methods A retrospective analysis of medical records of patients with ACS transported by basic (BT) and specialist transfer (ST) by emergency medical teams (EMTs). We analyzed age, gender, hemodynamic parameters, type of the emergency medical team, and complications during transport as well as patient survival to hospital admission, survival time and the 30-day mortality rate. Results Of 500 patients who underwent transfer, ST transported 368 (73.6%) and BT 132 (26.4%) patients (p < 0.001). Complications during transportation occurred in 3 (1%) in the ST group and 2 (1.5%) in and BT group. Cardiac arrest during transfer occurred in no (0%) patients in the ST group, and 2 (1.5%) in the BT group (p = 0.118). Survival to admission was recorded in all patients in the ST group and 131/132 (0.8%) patients in the BT group (p = 0.592). 40 (12%) of patients in the ST group and 13 (11%) patients in the BT group (p = 0.731) died within 30 days of transfer. Conclusions Complications during medical transport of ACS patients from hospitals without a cardiac catheter lab to hospitals equipped with such a lab were rare and their incidence was not associated with the type of transporting EMT. The type of EMT was not associated with 30-day patient mortality.https://doi.org/10.1186/s12872-020-01327-1Sudden cardiac arrestAcute coronary syndromeEmergency medicineMedical transportPrehospital emergency care |
| spellingShingle | Michał Czapla Dorota Zyśko Tom Quinn Piotr Karniej Complication during transportation and 30 days mortality of patients with acute coronary syndrome BMC Cardiovascular Disorders Sudden cardiac arrest Acute coronary syndrome Emergency medicine Medical transport Prehospital emergency care |
| title | Complication during transportation and 30 days mortality of patients with acute coronary syndrome |
| title_full | Complication during transportation and 30 days mortality of patients with acute coronary syndrome |
| title_fullStr | Complication during transportation and 30 days mortality of patients with acute coronary syndrome |
| title_full_unstemmed | Complication during transportation and 30 days mortality of patients with acute coronary syndrome |
| title_short | Complication during transportation and 30 days mortality of patients with acute coronary syndrome |
| title_sort | complication during transportation and 30 days mortality of patients with acute coronary syndrome |
| topic | Sudden cardiac arrest Acute coronary syndrome Emergency medicine Medical transport Prehospital emergency care |
| url | https://doi.org/10.1186/s12872-020-01327-1 |
| work_keys_str_mv | AT michałczapla complicationduringtransportationand30daysmortalityofpatientswithacutecoronarysyndrome AT dorotazysko complicationduringtransportationand30daysmortalityofpatientswithacutecoronarysyndrome AT tomquinn complicationduringtransportationand30daysmortalityofpatientswithacutecoronarysyndrome AT piotrkarniej complicationduringtransportationand30daysmortalityofpatientswithacutecoronarysyndrome |