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September 1, 2019European Heart Journal Acute Cardiovascular CareOpen Access

First medical contact to primary PCI in under 90 minutes was less frequently achieved with helicopter transport than with ground transport (9.8% vs. 37.2%; OR 5.49, 95% CI 3.90-7.73, P<0.0001).

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Why the study?

Emergency medical system transfer delays for STEMI patients to PCI centres needed evaluation according to transport modality in a rural French region.

Does helicopter transport improve the percentage of STEMI patients achieving first medical contact to primary PCI within 90 minutes compared to ground transport in rural areas?

Population

1911 STEMI patients in a rural French region

Comparison

Helicopter transport vs ground transport

Design

Prospective multicentre registry study

Authors

RHRadwan HakimEREric RevueCEC. Etienne

Discussion

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Overview

Helicopter transport was associated with more delays to PCI in rural STEMI; leaves open whether protocol refinements could alter selection.

Structured PICO

Does helicopter transport improve the percentage of STEMI patients achieving first medical contact to primary PCI within 90 minutes compared to ground transport in rural areas?

P
Population
1,911 STEMI patients in a rural French region from the prospective multicentre CRAC / France PCI registry
I
Intervention
Helicopter transport to percutaneous coronary intervention (PCI) centres
C
Comparator
Ground transport to percutaneous coronary intervention (PCI) centres
O
Outcome
Percentage of transfers with first medical contact to primary percutaneous coronary intervention within the 90 minutes recommended in guidelines

Helicopter transport for STEMI patients in rural areas is associated with significant delays in reaching primary PCI compared to ground transport, particularly for transfer distances under 50 km.

Cite This Study

Hakim et al. (2019) studied this question.

synapsesocial.com/papers/6a72c688b27f15817828207ehttps://doi.org/10.1177/2048872619848976
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Earlier reperfusion in patients with ST-elevation Myocardial infarction by use of helicopter2012 · 31 citations
  2. 2Implementation of a physician-staffed helicopter: impact on time to primary PCI2013 · 18 citations
  3. 3Ground Emergency Medical Services Requests for Helicopter Transfer of ST‐segment Elevation Myocardial Infarction Patients Decrease Medical Contact to Balloon Times in Rural and Suburban Settings2012 · 34 citations
  4. 4Air versus ground transport of patients with acute myocardial infarction2014 · 26 citations
  5. 5Rural Interhospital Transfer of ST-Elevation Myocardial Infarction Patients for Percutaneous Coronary Revascularization2008 · 128 citations