Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty

Detalhes bibliográficos
Autor(a) principal: Balk,Maurício
Data de Publicação: 2019
Outros Autores: Gomes,Henrique Basso, Quadros,Alexandre Schaan de, Saffi,Marco Aurélio Lumertz, Leiria,Tiago Luiz Luz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402
Resumo: 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.
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spelling Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary AngioplastyST Elevation Myocardial Infarction/complicationsAngioplasty, Balloon, Coronary/methodsMyocardial Reperfusion/methodsFibrinolytic AgentsIntensive Care UnitsAbstract 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.Sociedade Brasileira de Cardiologia - SBC2019-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402Arquivos Brasileiros de Cardiologia v.112 n.4 2019reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20190014info:eu-repo/semantics/openAccessBalk,MaurícioGomes,Henrique BassoQuadros,Alexandre Schaan deSaffi,Marco Aurélio LumertzLeiria,Tiago Luiz Luzeng2019-04-11T00:00:00Zoai:scielo:S0066-782X2019000400402Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2019-04-11T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty
title Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty
spellingShingle Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty
Balk,Maurício
ST Elevation Myocardial Infarction/complications
Angioplasty, Balloon, Coronary/methods
Myocardial Reperfusion/methods
Fibrinolytic Agents
Intensive Care Units
title_short 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_sort Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty
author Balk,Maurício
author_facet Balk,Maurício
Gomes,Henrique Basso
Quadros,Alexandre Schaan de
Saffi,Marco Aurélio Lumertz
Leiria,Tiago Luiz Luz
author_role author
author2 Gomes,Henrique Basso
Quadros,Alexandre Schaan de
Saffi,Marco Aurélio Lumertz
Leiria,Tiago Luiz Luz
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Balk,Maurício
Gomes,Henrique Basso
Quadros,Alexandre Schaan de
Saffi,Marco Aurélio Lumertz
Leiria,Tiago Luiz Luz
dc.subject.por.fl_str_mv ST Elevation Myocardial Infarction/complications
Angioplasty, Balloon, Coronary/methods
Myocardial Reperfusion/methods
Fibrinolytic Agents
Intensive Care Units
topic ST Elevation Myocardial Infarction/complications
Angioplasty, Balloon, Coronary/methods
Myocardial Reperfusion/methods
Fibrinolytic Agents
Intensive Care Units
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.
publishDate 2019
dc.date.none.fl_str_mv 2019-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000400402
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/abc.20190014
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.112 n.4 2019
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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