Key result
A chief complaint-based cardiac triage strategy significantly reduced median door-to-ECG time from 5 to 4 minutes and increased the achievement rate of door-to-ECG time <10 minutes from 78.9% to 95.0%.
Why the study?
Timely performing electrocardiography is crucial for early detection of STEMI, prompting the need for strategies to shorten door-to-ECG time.
Does a chief complaint-based cardiac triage strategy reduce door-to-ECG and door-to-balloon times in patients with STEMI?
Population
117 ED patients with STEMI at a single tertiary referral center
Comparison
Post-intervention chief complaint-based cardiac triage protocol vs pre-intervention care
Design
Retrospective before-and-after single-center study
Authors
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Chief complaint-based triage was associated with shorter door-to-ECG times in this STEMI cohort; leaves open need for randomized trials before practice change.
Cohort (n=117)
No
Does a chief complaint-based cardiac triage strategy reduce door-to-ECG and door-to-balloon times in patients with STEMI?
Absolute Event Rate: 4% vs 5%
p-value: p=0.02
A modified chief complaint-based cardiac triage strategy significantly reduced door-to-ECG and door-to-balloon times for STEMI patients in the emergency department.
Su et al. (2021) conducted a cohort in ST-elevation myocardial infarction (n=117). Chief complaint-based cardiac triage protocol vs. Standard five-level triage system was evaluated on Median door-to-ECG time (minutes) (p=0.02). A chief complaint-based cardiac triage strategy significantly reduced median door-to-ECG time from 5 to 4 minutes and increased the achievement rate of door-to-ECG time <10 minutes from 78.9% to 95.0%.
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