What question did this study set out to answer?

To evaluate the impact of an organized, team-based emergency triage system on reducing door-to-needle times for patients presenting with acute ST-elevation myocardial infarction.

April 1, 2010Asian Cardiovascular and Thoracic Annals

Door-to-Needle Times in Acute Myocardial Infarction

View Full Paper

Ask AI

Bookmark

Why the study?

Does a better organized team approach reduce door-to-needle times in patients with acute ST-elevation myocardial infarction?

Population

60 patients with acute ST-elevation myocardial infarction triaged to the coronary care unit

Comparison

Implementation of a better organized team… vs Historical control data from previous years

Design

Cohort

Authors

YYYalın Tolga YaylalıPamukkale University

Discussion

Member takes

Implication

Team-based triage may shorten door-to-needle times in STEMI; leaves open confirmation by randomized trials before practice change.

Key Points

To evaluate the impact of an organized, team-based emergency triage system on reducing door-to-needle times for patients presenting with acute ST-elevation myocardial infarction.
Prospective interventional cohort study enrolling 60 patients presenting with acute ST-elevation myocardial infarction between April and December 2007.
Implemented trained emergency department personnel, specialized equipment, and direct communication channels between offsite cardiologists and pre-hospital teams to triage patients directly to the coronary care unit.
Compared prospectively collected demographic, laboratory, and treatment time intervals with historical baseline data from 2005 to 2007.
Mean door-to-needle time during regular hours decreased from 80 minutes (2005–2007 baseline) to 30 minutes following implementation.
Mean door-to-needle time outside regular hours decreased from 85 minutes to 33 minutes.

Structured PICO

Does a better organized team approach reduce door-to-needle times in patients with acute ST-elevation myocardial infarction?

Population

60 patients with acute ST-elevation myocardial infarction triaged to the coronary care unit

Intervention

Implementation of a better organized team approach with specifically trained emergency department personnel and equipment facilitating direct communication between offsite cardiologists and pre-hospital emergency personnel, allowing direct triage to the coronary care unit

Comparator

Historical control data from previous years (2005-2007)

Outcome

Door-to-needle timesurrogate

Implementing a specialized team-based triage approach with direct communication significantly reduces door-to-needle times for STEMI patients receiving thrombolytic therapy.

Cite This Study

Yalın Tolga Yaylalı (2010) studied this question.

synapsesocial.com/papers/6a701f575d37378ac1dd2fd3 https://doi.org/10.1177/0218492309338130

View Full Paper

Ask AI

Bookmark

Door-to-Needle Times in Acute Myocardial Infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Door-to-Needle Times in Acute Myocardial Infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider