Why the study?
Does the availability of on-site catheterization improve clinical outcomes in patients receiving fibrinolysis for ST-elevation myocardial infarction?
Population
15,078 patients receiving fibrinolysis for ST-elevation myocardial infarction, enrolled in 35 countries and…
Comparison
Management in hospitals with 24-h or day-only… vs Management in hospitals with no on-site…
Design
Cohort
Follow-up
1 year
Authors
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Mortality equivalence across catheterization availability supports no practice change after fibrinolysis in STEMI; leaves open whether selective transfer improves outcomes.
Does the availability of on-site catheterization improve clinical outcomes in patients receiving fibrinolysis for ST-elevation myocardial infarction?
Availability of on-site catheterization facilities increases procedure use but does not significantly improve 1-year mortality in STEMI patients receiving fibrinolysis.
Joan Llevadot (2001) studied this question.
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