Why the study?
Does transferring patients for primary angioplasty affect clinical outcomes compared to direct admission in patients with acute myocardial infarction?
Population
520 patients with acute myocardial infarction who were candidates for primary coronary angioplasty
Comparison
Transfer from a community hospital for primary… vs Direct admission for primary coronary angioplasty
Design
Cohort
Follow-up
six months
Authors
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Supports feasibility of transfer for primary angioplasty in AMI without apparent harm; leaves open whether RCTs would confirm safety.
Does transferring patients for primary angioplasty affect clinical outcomes compared to direct admission in patients with acute myocardial infarction?
Transferring high-risk patients with acute myocardial infarction for primary angioplasty is feasible and does not appear to negatively impact clinical outcomes compared to direct admission.
Zijlstra et al. (1997) studied this question.
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