Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty
Abstract Background: Studies have shown the benefits of rapid reperfusion therapy in acute myocardial infarction. However, there are still delays during transport of patients to primary angioplasty. Objective: To evaluate whether there is a difference in total ischemic time between patients tran...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2019-04-01
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| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402&lng=en&tlng=en |
| _version_ | 1818968137056387072 |
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| author | Maurício Balk Henrique Basso Gomes Alexandre Schaan de Quadros Marco Aurélio Lumertz Saffi Tiago Luiz Luz Leiria |
| author_facet | Maurício Balk Henrique Basso Gomes Alexandre Schaan de Quadros Marco Aurélio Lumertz Saffi Tiago Luiz Luz Leiria |
| author_sort | Maurício Balk |
| collection | DOAJ |
| description | Abstract Background: Studies have shown the benefits of rapid reperfusion therapy in acute myocardial infarction. However, there are still delays during transport of patients to primary angioplasty. Objective: To evaluate whether there is a difference in total ischemic time between patients transferred from other hospitals compared to self-referred patients in our institution. Methods: Historical cohort study including patients with acute myocardial infarction treated between April 2014 and September 2015. Patients were divided into transferred patients (group A) and self-referred patients (group B). Clinical characteristics of the patients were obtained from our electronic database and the transfer time was estimated based on the time the e-mail requesting patient's transference was received by the emergency department. Results: The sample included 621 patients, 215 in group A and 406 in group B. Population characteristics were similar in both groups. Time from symptom onset to arrival at the emergency department was significantly longer in group A (385 minutes vs. 307 minutes for group B, p < 0.001) with a transfer delay of 147 minutes. There was a significant relationship between the travel distance and increased transport time (R = 0.55, p < 0.001). However, no difference in mortality was found between the groups. Conclusion: In patients transferred from other cities for treatment of infarction, transfer time was longer than that recommended, especially in longer travel distances. |
| first_indexed | 2024-12-20T13:59:54Z |
| format | Article |
| id | doaj.art-f30dbbc90a634f9d9a74b52055f8f87e |
| institution | Directory Open Access Journal |
| issn | 1678-4170 |
| language | English |
| last_indexed | 2024-12-20T13:59:54Z |
| publishDate | 2019-04-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-f30dbbc90a634f9d9a74b52055f8f87e2022-12-21T19:38:24ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia1678-41702019-04-01112440240710.5935/abc.20190014S0066-782X2019000400402Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary AngioplastyMaurício BalkHenrique Basso GomesAlexandre Schaan de QuadrosMarco Aurélio Lumertz SaffiTiago Luiz Luz LeiriaAbstract Background: Studies have shown the benefits of rapid reperfusion therapy in acute myocardial infarction. However, there are still delays during transport of patients to primary angioplasty. Objective: To evaluate whether there is a difference in total ischemic time between patients transferred from other hospitals compared to self-referred patients in our institution. Methods: Historical cohort study including patients with acute myocardial infarction treated between April 2014 and September 2015. Patients were divided into transferred patients (group A) and self-referred patients (group B). Clinical characteristics of the patients were obtained from our electronic database and the transfer time was estimated based on the time the e-mail requesting patient's transference was received by the emergency department. Results: The sample included 621 patients, 215 in group A and 406 in group B. Population characteristics were similar in both groups. Time from symptom onset to arrival at the emergency department was significantly longer in group A (385 minutes vs. 307 minutes for group B, p < 0.001) with a transfer delay of 147 minutes. There was a significant relationship between the travel distance and increased transport time (R = 0.55, p < 0.001). However, no difference in mortality was found between the groups. Conclusion: In patients transferred from other cities for treatment of infarction, transfer time was longer than that recommended, especially in longer travel distances.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402&lng=en&tlng=enInfarto do Miocárdio com Supradesnivelamento do Segmento ST/complicaçõesAngioplastia Coronária com Balão/métodosReperfusão Miocárdica/métodosFibrinolíticosUnidades de Terapia Intensiva |
| spellingShingle | Maurício Balk Henrique Basso Gomes Alexandre Schaan de Quadros Marco Aurélio Lumertz Saffi Tiago Luiz Luz Leiria Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty Arquivos Brasileiros de Cardiologia Infarto do Miocárdio com Supradesnivelamento do Segmento ST/complicações Angioplastia Coronária com Balão/métodos Reperfusão Miocárdica/métodos Fibrinolíticos Unidades de Terapia Intensiva |
| title | Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty |
| title_full | Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty |
| title_fullStr | Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty |
| title_full_unstemmed | Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty |
| title_short | Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty |
| title_sort | comparative analysis between transferred and self referred stemi patients undergoing primary angioplasty |
| topic | Infarto do Miocárdio com Supradesnivelamento do Segmento ST/complicações Angioplastia Coronária com Balão/métodos Reperfusão Miocárdica/métodos Fibrinolíticos Unidades de Terapia Intensiva |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402&lng=en&tlng=en |
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