Key result
Pre-hospital STEMI diagnosis cuts primary PCI treatment delay vs in-hospital diagnosis, especially with direct referral.
Why the study?
Treatment delays in patients with STEMI scheduled for primary PCI may be reduced by pre-hospital diagnosis and direct referral to an interventional centre, but the extent of this impact was unclear.
Does pre-hospital diagnosis and direct referral reduce treatment delay in patients with ST-elevation myocardial infarction?
Does pre-hospital diagnosis and direct referral reduce treatment delay in patients with ST-elevation myocardial infarction?
Pre-hospital diagnosis and direct routing to a PCI-capable center reduces treatment delays for patients with STEMI.
Answers are grounded in this paper and cite their sources.
Supports pre-hospital STEMI diagnosis with direct referral to cut delays; hypothesis-generating, needs randomized outcome trials before practice change.
In a cohort of patients scheduled for admission to a local hospital and subsequent transferral to an interventional centre for primary PCI, those diagnosed pre-hospitally had shorter treatment delay compared with those diagnosed in hospital, both in the setting of initial admission to a local hospital, and to an even larger extent in the setting of referral directly to the interventional centre.
No takes yet. Share an insight, caveat, or question.
Terkelsen et al. (2005) studied this question. Pre-hospital diagnosis of STEMI reduced treatment delay for primary PCI compared to in-hospital diagnosis, particularly when combined with direct referral to an interventional center.
Synapse has enriched 10 related papers. Consider them for comparative context: