Key result
Specific hospital strategies, such as expecting staff to arrive in the catheterization laboratory within 20 minutes, were associated with a 19.3-minute mean reduction in door-to-balloon time.
Why the study?
Do specific hospital strategies reduce door-to-balloon time in patients with ST-segment elevation myocardial infarction?
Population
365 hospitals treating patients with ST-segment elevation myocardial infarction undergoing primary…
Comparison
Implementation of specific hospital strategies vs Hospitals not implementing these specific…
Design
Cross-sectional
Authors
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These strategies may shorten door-to-balloon times; hypothesis-generating and requires prospective confirmation before practice change.
Observational (n=365)
Yes
Do specific hospital strategies reduce door-to-balloon time in patients with ST-segment elevation myocardial infarction?
Implementing specific hospital strategies, such as prehospital catheterization laboratory activation and rapid staff arrival expectations, significantly reduces door-to-balloon time in STEMI patients.
Bradley et al. (2006) conducted an observational in Acute Myocardial Infarction with ST-segment elevation (n=365). Specific hospital strategies for catheterization laboratory activation and staffing vs. Absence of specific strategies was evaluated on Door-to-balloon time. Specific hospital strategies, such as expecting staff to arrive in the catheterization laboratory within 20 minutes, were associated with a 19.3-minute mean reduction in door-to-balloon time.
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