Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Journal of Cardiovascular Sciences (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000100053 |
Resumo: | Abstract Background The use of an adequate door-to-balloon time (≤ 90 minutes) is crucial in improving the quality of care provided to patients with ST-segment elevation myocardial infarction (STEMI). Objective To determine the door-to-balloon time in the management of STEMI patients in a cardiovascular emergency department in a hospital of northern Brazil. Methods This was a cross-sectional study based on review of medical records. A total of 109 patients with STEMI admitted to the emergency department of a referral cardiology hospital in Pará State, Brazil, between May 2017 and December 2017. Correlations of the door-to-balloon time with length of hospital stay and mortality rate were assessed, as well as whether the time components of the door-to-balloon time affected the delay in performing primary percutaneous coronary intervention. Quantitative variables were analyzed by Spearman correlation and the G test was used for categorical variables. A p<0.05 was set as statistically significant. Results Median door-to-balloon time was 104 minutes. No significant correlation was found between door-to-balloon time and length of hospital stay or deaths, but significant correlations were found between door-to-balloon time and door-to-ECG time (p<0.001) and ECG-to-activation (of an interventional cardiologist) time (p<0.001). Conclusion The door-to-balloon time was longer the recommended and was not correlated with the length of hospital stay or in-hospital mortality. Door-to-ECG time and ECG-to-activation time contributed to the delay in performing the primary percutaneous coronary intervention. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0 |
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International Journal of Cardiovascular Sciences (Online) |
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Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern BrazilMyocardial InfarctionAngioplasty, Balloon, CoronaryAdmitting Department, HospitalTime to TreatmentQuality IndicatorsHealth CareAbstract Background The use of an adequate door-to-balloon time (≤ 90 minutes) is crucial in improving the quality of care provided to patients with ST-segment elevation myocardial infarction (STEMI). Objective To determine the door-to-balloon time in the management of STEMI patients in a cardiovascular emergency department in a hospital of northern Brazil. Methods This was a cross-sectional study based on review of medical records. A total of 109 patients with STEMI admitted to the emergency department of a referral cardiology hospital in Pará State, Brazil, between May 2017 and December 2017. Correlations of the door-to-balloon time with length of hospital stay and mortality rate were assessed, as well as whether the time components of the door-to-balloon time affected the delay in performing primary percutaneous coronary intervention. Quantitative variables were analyzed by Spearman correlation and the G test was used for categorical variables. A p<0.05 was set as statistically significant. Results Median door-to-balloon time was 104 minutes. No significant correlation was found between door-to-balloon time and length of hospital stay or deaths, but significant correlations were found between door-to-balloon time and door-to-ECG time (p<0.001) and ECG-to-activation (of an interventional cardiologist) time (p<0.001). Conclusion The door-to-balloon time was longer the recommended and was not correlated with the length of hospital stay or in-hospital mortality. Door-to-ECG time and ECG-to-activation time contributed to the delay in performing the primary percutaneous coronary intervention. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0Sociedade Brasileira de Cardiologia2021-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000100053International Journal of Cardiovascular Sciences v.34 n.1 2021reponame:International Journal of Cardiovascular Sciences (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.36660/ijcs.20190104info:eu-repo/semantics/openAccessAmoras,Tárcio Sadraque GomesRodrigues,Taymara BarbosaMenezes,Cláudia RibeiroZaninotto,Christielaine VenzelTavares,Roseneide dos Santoseng2022-02-02T00:00:00Zoai:scielo:S2359-56472021000100053Revistahttp://publicacoes.cardiol.br/portal/ijcshttps://old.scielo.br/oai/scielo-oai.phptailanerodrigues@cardiol.br||revistaijcs@cardiol.br2359-56472359-4802opendoar:2022-02-02T00:00International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
title |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
spellingShingle |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil Amoras,Tárcio Sadraque Gomes Myocardial Infarction Angioplasty, Balloon, Coronary Admitting Department, Hospital Time to Treatment Quality Indicators Health Care |
title_short |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
title_full |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
title_fullStr |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
title_full_unstemmed |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
title_sort |
Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil |
author |
Amoras,Tárcio Sadraque Gomes |
author_facet |
Amoras,Tárcio Sadraque Gomes Rodrigues,Taymara Barbosa Menezes,Cláudia Ribeiro Zaninotto,Christielaine Venzel Tavares,Roseneide dos Santos |
author_role |
author |
author2 |
Rodrigues,Taymara Barbosa Menezes,Cláudia Ribeiro Zaninotto,Christielaine Venzel Tavares,Roseneide dos Santos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Amoras,Tárcio Sadraque Gomes Rodrigues,Taymara Barbosa Menezes,Cláudia Ribeiro Zaninotto,Christielaine Venzel Tavares,Roseneide dos Santos |
dc.subject.por.fl_str_mv |
Myocardial Infarction Angioplasty, Balloon, Coronary Admitting Department, Hospital Time to Treatment Quality Indicators Health Care |
topic |
Myocardial Infarction Angioplasty, Balloon, Coronary Admitting Department, Hospital Time to Treatment Quality Indicators Health Care |
description |
Abstract Background The use of an adequate door-to-balloon time (≤ 90 minutes) is crucial in improving the quality of care provided to patients with ST-segment elevation myocardial infarction (STEMI). Objective To determine the door-to-balloon time in the management of STEMI patients in a cardiovascular emergency department in a hospital of northern Brazil. Methods This was a cross-sectional study based on review of medical records. A total of 109 patients with STEMI admitted to the emergency department of a referral cardiology hospital in Pará State, Brazil, between May 2017 and December 2017. Correlations of the door-to-balloon time with length of hospital stay and mortality rate were assessed, as well as whether the time components of the door-to-balloon time affected the delay in performing primary percutaneous coronary intervention. Quantitative variables were analyzed by Spearman correlation and the G test was used for categorical variables. A p<0.05 was set as statistically significant. Results Median door-to-balloon time was 104 minutes. No significant correlation was found between door-to-balloon time and length of hospital stay or deaths, but significant correlations were found between door-to-balloon time and door-to-ECG time (p<0.001) and ECG-to-activation (of an interventional cardiologist) time (p<0.001). Conclusion The door-to-balloon time was longer the recommended and was not correlated with the length of hospital stay or in-hospital mortality. Door-to-ECG time and ECG-to-activation time contributed to the delay in performing the primary percutaneous coronary intervention. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0 |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02-01 |
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=S2359-56472021000100053 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000100053 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.36660/ijcs.20190104 |
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 |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
dc.source.none.fl_str_mv |
International Journal of Cardiovascular Sciences v.34 n.1 2021 reponame:International Journal of Cardiovascular Sciences (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
International Journal of Cardiovascular Sciences (Online) |
collection |
International Journal of Cardiovascular Sciences (Online) |
repository.name.fl_str_mv |
International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
tailanerodrigues@cardiol.br||revistaijcs@cardiol.br |
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1754732626628837376 |