Emergency Department Bypass for ST-Segment–Elevation Myocardial Infarction Patients Identified With a Prehospital Electrocardiogram
Why the study?
Does Emergency Department bypass improve reperfusion times and reduce mortality in STEMI patients identified with a prehospital ECG?
Population
ST-segment-elevation myocardial infarction (STEMI) patients identified with a prehospital ECG
Comparison
Emergency Department (ED) bypass vs Standard Emergency Department routing
Design
Cohort
Authors
Discussion
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Member takes
Implication
May warrant targeted ED bypass in STEMI with prehospital ECG; leaves open broader implementation outside working hours.
Structured PICO
Does Emergency Department bypass improve reperfusion times and reduce mortality in STEMI patients identified with a prehospital ECG?
P
Population
ST-segment-elevation myocardial infarction (STEMI) patients identified with a prehospital ECG
I
Intervention
Emergency Department (ED) bypass
C
Comparator
Standard Emergency Department routing (no ED bypass)
O
Outcome
Reperfusion times and mortality rateshard clinical
ED bypass for STEMI patients with prehospital ECGs is associated with shorter reperfusion times and lower mortality but remains underutilized across US hospitals.
Cite This Study
Bagai et al. (2013) studied this question.