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“Register and Roll” : A Novel Initiative to Improve First Door-to-Balloon Time in ST Elevation Myocardial Infarction
Joint Authors
Jain, Sachin Kumar Amruthlal
David, Shukri
Ismail, Yousif
Alexander, Patrick
Shaw, Michael
Source
Cardiology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
We examined the cause of transfer delay in patients with an acute ST-segment myocardial infarction (STEMI) from non percutaneous coronary intervention (PCI) capable to PCI capable hospitals.
We then implemented a novel, simple, and reliable initiative to improve the transfer process.
Background.
Guidelines established by the ACC/AHA call for door-to-balloon times of ≤90 minutes for patients with STEMI.
When hospital transfer is necessary, this is only met in 8.6% of cases.
Methods.
All patients presenting with STEMI to a non-PCI capable hospital from April 2006 to February 2009 were analyzed retrospectively.
After identifying causes of transfer delay the “Register and Roll” initiative was developed.
An analysis of effect was conducted from March 2009 to July 2011.
Results.
144 patients were included, 74 pre-initiative and 70 post- initiative.
Time to EMS activation was a major delay in patient transfer.
After implementation, the EMS activation time has significantly decreased and time to reperfusion approaches recommended goal (Median 114 min versus 90 min, P<0.001), with 55% in <90 minutes.
Conclusion.
“Register and Roll” streamlines the triage process and improves hospital transfer times.
This initiative is easily instituted and reliable in a community hospital setting where resources are limited.
American Psychological Association (APA)
Jain, Sachin Kumar Amruthlal& Ismail, Yousif& Shaw, Michael& David, Shukri& Alexander, Patrick. 2012. “Register and Roll” : A Novel Initiative to Improve First Door-to-Balloon Time in ST Elevation Myocardial Infarction. Cardiology Research and Practice،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-485438
Modern Language Association (MLA)
Jain, Sachin Kumar Amruthlal…[et al.]. “Register and Roll” : A Novel Initiative to Improve First Door-to-Balloon Time in ST Elevation Myocardial Infarction. Cardiology Research and Practice No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-485438
American Medical Association (AMA)
Jain, Sachin Kumar Amruthlal& Ismail, Yousif& Shaw, Michael& David, Shukri& Alexander, Patrick. “Register and Roll” : A Novel Initiative to Improve First Door-to-Balloon Time in ST Elevation Myocardial Infarction. Cardiology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-485438
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-485438