Key result
A modified cardiac triage strategy significantly reduced median door-to-ECG time from 5 to 4 minutes and increased the proportion of patients achieving a door-to-ECG time under 10 minutes from 78.9% to 95.0%.
Why the study?
Timely performing ECG is crucial for early detection of STEMI, prompting the implementation of a chief complaint-based cardiac triage protocol to shorten door-to-ECG time.
Does a modified cardiac triage strategy reduce door-to-ECG time in patients with ST elevation myocardial infarction?
Population
117 ED patients with STEMI at a single tertiary referral center
Comparison
Post-intervention vs pre-intervention cardiac triage strategy
Design
Single-center retrospective study
Authors
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May support ED triage modifications for STEMI; leaves open outcome benefits pending randomized confirmation.
Observational (n=117)
No
Does a modified cardiac triage strategy reduce door-to-ECG time in patients with ST elevation myocardial infarction?
Absolute Event Rate: 4% vs 5%
p-value: p=0.02
A modified cardiac triage strategy using bedside warning tags and focused history-taking significantly reduces door-to-ECG and door-to-balloon times for STEMI patients.
Su et al. (2021) conducted an observational in ST elevation myocardial infarction (STEMI) (n=117). Modified cardiac triage strategy vs. Standard five-level triage system (pre-intervention) was evaluated on Median door-to-ECG time (minutes) (p=0.02). A modified cardiac triage strategy significantly reduced median door-to-ECG time from 5 to 4 minutes and increased the proportion of patients achieving a door-to-ECG time under 10 minutes from 78.9% to 95.0%.
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