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July 10, 2008European Heart JournalOpen Access

Clinical impact of an inter-hospital transfer strategy in patients with ST-elevation myocardial infarction undergoing primary angioplasty: the Emilia-Romagna ST-segment elevation acute myocardial infarction network

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Why the study?

Does an inter-hospital transfer strategy for primary PCI increase in-hospital and 1-year cardiac mortality compared to on-site primary PCI in patients with STEMI?

Population

3296 patients with ST-segment elevation acute myocardial infarction undergoing primary percutaneous…

Comparison

Primary percutaneous intervention after… vs On-site primary percutaneous intervention

Design

Cohort

Follow-up

1 year

Authors

AMAntonio ManariPOPaolo OrtolaniPGPaolo Guastaroba

Discussion

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Overview

Transfer strategy shows no excess cardiac mortality versus on-site pPCI; leaves open optimal STEMI network design pending randomized confirmation.

Structured PICO

Does an inter-hospital transfer strategy for primary PCI increase in-hospital and 1-year cardiac mortality compared to on-site primary PCI in patients with STEMI?

P
Population
3296 patients with ST-segment elevation acute myocardial infarction (STEMI) undergoing primary percutaneous intervention (p-PCI) in the Italian region of Emilia-Romagna between 1 January 2004 and 30 June 2006.
I
Intervention
Primary percutaneous intervention (p-PCI) after inter-hospital transfer (n=852)
C
Comparator
On-site primary percutaneous intervention (p-PCI) (n=2444)
O
Outcome
In-hospital and 1 year cardiac mortalityhard clinical

An inter-hospital transfer strategy for primary PCI in STEMI patients within an organized regional network achieves favorable short- and long-term clinical outcomes comparable to on-site primary PCI.

Cite This Study

Manari et al. (2008) studied this question.

synapsesocial.com/papers/6a7d57a22f2f9d79738b2fdfhttps://doi.org/10.1093/eurheartj/ehn323
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