Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers

The aim of this study was to assess the delays that can potentially occur in the emergency transfer of patients with ST-elevation myocardial infarction (STEMI) to percutaneous coronary intervention (PCI) centers. We conducted a retrospective study using the medical reports pertaining to 97 patients...

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Main Authors: Angel Liviu Trifan, Liliana Dragomir, Mihaela Anghele, Eva Maria Elkan, Sorina Munteanu, Cosmina Moscu, Valerian-Ionuț Stoian, Anca Telehuz, Monica Laura Zlati, Mihaiela Lungu, Doina Carina Voinescu, Diana Carmen Cimpoesu, Gabriela Stoleriu, Ion Sandu, Violeta Sapira
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/3/299
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author Angel Liviu Trifan
Liliana Dragomir
Mihaela Anghele
Eva Maria Elkan
Sorina Munteanu
Cosmina Moscu
Valerian-Ionuț Stoian
Anca Telehuz
Monica Laura Zlati
Mihaiela Lungu
Doina Carina Voinescu
Diana Carmen Cimpoesu
Gabriela Stoleriu
Ion Sandu
Violeta Sapira
author_facet Angel Liviu Trifan
Liliana Dragomir
Mihaela Anghele
Eva Maria Elkan
Sorina Munteanu
Cosmina Moscu
Valerian-Ionuț Stoian
Anca Telehuz
Monica Laura Zlati
Mihaiela Lungu
Doina Carina Voinescu
Diana Carmen Cimpoesu
Gabriela Stoleriu
Ion Sandu
Violeta Sapira
author_sort Angel Liviu Trifan
collection DOAJ
description The aim of this study was to assess the delays that can potentially occur in the emergency transfer of patients with ST-elevation myocardial infarction (STEMI) to percutaneous coronary intervention (PCI) centers. We conducted a retrospective study using the medical reports pertaining to 97 patients who presented to the Emergency Department of the Emergency County Hospital of Galati during the year of 2018 with the diagnosis of STEMI and meeting eligibility criteria for PCI, thus warranting transfer to a hospital with PCI facilities. The pick-up time of patients diagnosed with acute myocardial infarction from the emergency department by the transfer crew is significantly shorter (<i>p</i> < 0.05) than those transferred by air, regardless of the PCI center to which the transfer was performed, Iasi or Bucharest, when compared to the time required to process the patients transferred by land to the same PCI centers. The results of the study shows that the helicopter use for transferring acute myocardial infarction patients to a PCI center must be considered, given the distance between non-PCI and PCI centers is over 200 km.
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spelling doaj.art-d4f21035f95b4bbe9dbcc5d41fdc2ab72023-11-21T09:37:11ZengMDPI AGHealthcare2227-90322021-03-019329910.3390/healthcare9030299Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI CentersAngel Liviu Trifan0Liliana Dragomir1Mihaela Anghele2Eva Maria Elkan3Sorina Munteanu4Cosmina Moscu5Valerian-Ionuț Stoian6Anca Telehuz7Monica Laura Zlati8Mihaiela Lungu9Doina Carina Voinescu10Diana Carmen Cimpoesu11Gabriela Stoleriu12Ion Sandu13Violeta Sapira14Medical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaResearch Center in the Field of Social Sciences, “Stefan cel Mare” University, 720229 Suceava, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaEmergency Department, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaAcademy of Romanian Scientists (AOSR), 050094 Bucharest, RomaniaMedical Department, Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, 800008 Galati, RomaniaThe aim of this study was to assess the delays that can potentially occur in the emergency transfer of patients with ST-elevation myocardial infarction (STEMI) to percutaneous coronary intervention (PCI) centers. We conducted a retrospective study using the medical reports pertaining to 97 patients who presented to the Emergency Department of the Emergency County Hospital of Galati during the year of 2018 with the diagnosis of STEMI and meeting eligibility criteria for PCI, thus warranting transfer to a hospital with PCI facilities. The pick-up time of patients diagnosed with acute myocardial infarction from the emergency department by the transfer crew is significantly shorter (<i>p</i> < 0.05) than those transferred by air, regardless of the PCI center to which the transfer was performed, Iasi or Bucharest, when compared to the time required to process the patients transferred by land to the same PCI centers. The results of the study shows that the helicopter use for transferring acute myocardial infarction patients to a PCI center must be considered, given the distance between non-PCI and PCI centers is over 200 km.https://www.mdpi.com/2227-9032/9/3/299helicopter emergency medical servicepercutaneous coronary interventionST-segment elevation myocardial infarctionground emergency medical systems
spellingShingle Angel Liviu Trifan
Liliana Dragomir
Mihaela Anghele
Eva Maria Elkan
Sorina Munteanu
Cosmina Moscu
Valerian-Ionuț Stoian
Anca Telehuz
Monica Laura Zlati
Mihaiela Lungu
Doina Carina Voinescu
Diana Carmen Cimpoesu
Gabriela Stoleriu
Ion Sandu
Violeta Sapira
Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers
Healthcare
helicopter emergency medical service
percutaneous coronary intervention
ST-segment elevation myocardial infarction
ground emergency medical systems
title Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers
title_full Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers
title_fullStr Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers
title_full_unstemmed Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers
title_short Assessment of Transportation by Air for Patients with Acute ST-Elevation Myocardial Infarction from Non-PCI Centers
title_sort assessment of transportation by air for patients with acute st elevation myocardial infarction from non pci centers
topic helicopter emergency medical service
percutaneous coronary intervention
ST-segment elevation myocardial infarction
ground emergency medical systems
url https://www.mdpi.com/2227-9032/9/3/299
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