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January 1, 2014Western Journal of Emergency MedicineOpen Access

Importance of Hospital Entry: Walk-in STEMI and Primary Percutaneous Coronary Intervention

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Why the study?

Does walk-in hospital presentation compared to EMS transport increase door to balloon time in STEMI patients?

Population

136 STEMI patients presenting to an urban academic teaching center

Comparison

Walk-in hospital presentation vs Emergency medical service (EMS) transport

Design

Cohort

Follow-up

in-hospital

Authors

EBEric BansalUniversity of Southern CaliforniaRDRahul DhawanUniversity of LouisvilleBWBrittany WagmanSt. Joseph Hospital

Discussion

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Overview

May warrant expedited walk-in STEMI triage; leaves open whether this association holds in larger prospective cohorts.

Structured PICO

Does walk-in hospital presentation compared to EMS transport increase door to balloon time in STEMI patients?

P
Population
136 STEMI patients presenting to an urban academic teaching center
I
Intervention
Walk-in hospital presentation
C
Comparator
Emergency medical service (EMS) transport
O
Outcome
Prolonged door to balloon (D2B) time (>90 minutes)surrogate

Walk-in STEMI patients experience significantly longer door-to-balloon times compared to EMS-transported patients, highlighting the need for expedited triage protocols for walk-ins.

Cite This Study

Bansal et al. (2014) studied this question.

synapsesocial.com/papers/6a87dc063bdf89560ead361bhttps://doi.org/10.5811/westjem.2013.9.17855

Topics

Percutaneous coronary intervention
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Also Consider

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  1. 1Prehospital 12-Lead ECG to Triage ST-Elevation Myocardial Infarction and Emergency Department Activation of the Infarct Team Significantly Improves Door-to-Balloon Times2009 · 90 citations
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