Why the study?
Do STEMI patients requiring inter-hospital transfer for PPCI have different clinical presentations and outcomes compared to direct access patients?
Population
381 patients with ST-segment elevation myocardial infarction, including 180 inter-hospital transfer and 201…
Comparison
Inter-hospital transfer for primary percutaneous… vs Direct access to primary percutaneous coronary…
Design
Cohort
Follow-up
30 days
Authors
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Diagnostic uncertainty drives many STEMI transfer delays; supports targeted ECG training but leaves optimal protocols open for prospective study.
Do STEMI patients requiring inter-hospital transfer for PPCI have different clinical presentations and outcomes compared to direct access patients?
Delays in primary PCI for inter-hospital transfer patients are often driven by diagnostic uncertainty and atypical presentations rather than system failures, suggesting universal time metrics may not be appropriate for all cohorts.
Tarkin et al. (2015) studied this question.
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