Key result
Two-stage transportation of patients with acute coronary syndrome failed to meet timeframe guidelines for treatment, with statistically significant delays (p < 0.0001).
Why the study?
Does direct transportation compared to two-stage transportation reduce treatment delay in patients with acute coronary syndrome?
Observational (n=67)
No
Does direct transportation compared to two-stage transportation reduce treatment delay in patients with acute coronary syndrome?
Direct transportation to a PCI-capable center significantly reduces treatment delays for patients with acute coronary syndrome compared to a two-stage transport system.
Answers are grounded in this paper and cite their sources.
Two-stage ACS transport delays warrant protocol review; hypothesis-generating for direct transport, pending prospective trials.
BACKGROUND: The rapid international expansion of telemedicine reflects the growth of technological innovations. This technological advancement is transforming the way in which patients can receive health care. MATERIALS AND METHODS: The study was conducted in Poland, at the Department of Cardiology of the Regional Hospital of Louis Rydygier in Torun. The researchers analyzed the delay in the treatment of patients with acute coronary syndrome. The study was conducted as a survey and examined 67 consecutively admitted patients treated invasively in a two-stage transport system. Data were analyzed statistically. RESULTS: Two-stage transportation does not meet the timeframe guidelines for the treatment of patients with acute myocardial infarction. Intervals for the analyzed group of patients were statistically significant (p < 0.0001). CONCLUSIONS: Direct transportation of the patient to a reference center with interventional cardiology laboratory has a significant impact on reducing in-hospital delay in case of patients with acute coronary syndrome. PERSPECTIVES: This article presents the results of two-stage transportation of the patient with acute coronary syndrome. This measure could help clinicians who seek to assess time needed for intervention. It also shows how time from the beginning of pain in chest is important and may contribute to patient disability, death or well-being.
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Rosiek et al. (2015) conducted an observational in Acute coronary syndrome (n=67). Two-stage transportation vs. Direct transportation was evaluated on Delay in treatment / meeting timeframe guidelines (p=<0.0001). Two-stage transportation of patients with acute coronary syndrome failed to meet timeframe guidelines for treatment, with statistically significant delays (p < 0.0001).
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