Factors Impact the Door-to-Balloon Time in Stemi Patients in an Underdeveloped Area of China: A Single-Center Analysis

Yu, Zixiang; Ma, Yi; Yang, Yi‐Ning; Shen, Xin Xin

doi:10.1016/s0735-1097(13)60119-9

Cited by 2 publications

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“…The positive effect of pre-hospital ECG on the outcome of patients with ACS has been repeatedly confirmed in several recent studies reported from around the world [46][47][48][49], including China [50][51][52].…”

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confidence: 69%

In China women uphold half of the sky, but only a quarter of them received reperfusion therapy for acute coronary syndrome

Cheng

2014

International Journal of Cardiology

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confidence: 69%

In China women uphold half of the sky, but only a quarter of them received reperfusion therapy for acute coronary syndrome

Cheng

2014

International Journal of Cardiology

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“…Predictors of delay were peripheral arterial disease, prior revascularization, off‐hour arrival, age >75 years, heart failure at arrival, use of mechanical circulatory support, and low‐volume centres. A study conducted in a rural area of China in 301 STEMI patients during 2008‐2010 found a median DTB time of 134 minutes, and 54.5% of patients had delayed DTB time >120 minutes. Predictors of delay were presentation during off hours and when the interventionist was off site.…”

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confidence: 99%

Door‐to‐balloon time and factors associated with delayed door‐to‐balloon time in ST‐segment elevation myocardial infarction at Thailand's largest tertiary referral centre

Tungsubutra

Ngoenjan

2018

Evaluation Clinical Practice

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Objective: To analyse door-to-balloon (DTB) time and to identify factors significantly associated with delayed DTB in patients with ST-segment elevation myocardial infarction (STEMI) at Thailand's largest tertiary referral centre. Background: DTB time is considered an important measure of performance quality. Methods: This observational study analysed DTB time in patients with STEMI who presented to our institute's emergency department and underwent primary percutaneous coronary intervention (PCI) during June 2008 to May 2011. DTB time greater than 90 minutes was considered delayed. Data were collected to determine which clinical variables were associated with delays.Results: One hundred thirty-three patients were included. The mean age of patients was 61.1 ± 13.2 years, and 71.4% were male. Delayed DTB was observed in 70.7% of patients. Median DTB time was 117 (interquartile range [IQR], 86-168), 66 (IQR, 58-84), and 135 (IQR, 112-194) minutes in all patients, in nondelayed patients, and in delayed patients, respectively. Univariate analysis revealed triage to urgent care (P = 0.001) and presentation during on-call hours (P < 0.001) to be significantly associated with delayed DTB. Patients who were triaged to urgent care had a DTB time of 184 vs 105 minutes for triage to the emergency room. Patients who presented during on-call hours had a DTB time of 128 vs 86 minutes for work hour presentation. Presentation during on-call hours was the only significant predictor of DTB time >90 minutes in multivariate analysis (odds ratio [OR], 7.86; 95% confidence interval [CI], 3.39-18.22; P < 0.001). All patients that were triaged to urgent care were delayed; thus, association between urgent care triage and on-call hour service could not be determined. Conclusions: Delayed DTB time occurred in 70.7% of patients. Two key factors that significantly contributed to delayed DTB were patient mistriage to urgent care and presentation during on-call hours. KEYWORDS acute coronary syndrome, delay, door-to-balloon time, myocardial infarction, primary percutaneous coronary intervention, Thailand

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Factors Impact the Door-to-Balloon Time in Stemi Patients in an Underdeveloped Area of China: A Single-Center Analysis

Cited by 2 publications

References 0 publications

In China women uphold half of the sky, but only a quarter of them received reperfusion therapy for acute coronary syndrome

In China women uphold half of the sky, but only a quarter of them received reperfusion therapy for acute coronary syndrome

Door‐to‐balloon time and factors associated with delayed door‐to‐balloon time in ST‐segment elevation myocardial infarction at Thailand's largest tertiary referral centre

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