Why the study?
Does transfer from a non-PCI facility compared to direct presentation to a PCI facility affect in-hospital major cardiovascular events in patients with STEMI undergoing primary PCI?
Population
1236 patients with ST-segment elevation myocardial infarction who underwent primary PCI in 2 large regional…
Comparison
Transfer from a non-PCI facility to a primary… vs Direct presentation to the primary PCI center
Design
Cohort
Follow-up
in-hospital
Key result
Transfer for primary PCI was not associated with a significant difference in in-hospital major cardiovascular events compared to direct onsite presentation (OR 1.50; 95% CI 0.79-2.84; P=0.21).
Authors
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Transfer not linked to higher events; leaves open transfer safety in STEMI, needing prospective confirmation.
Cohort (n=1,236)
Yes
Does transfer from a non-PCI facility compared to direct presentation to a PCI facility affect in-hospital major cardiovascular events in patients with STEMI undergoing primary PCI?
Odds Ratio: 1.5 (95% CI 0.79–2.84)
Absolute Event Rate: 5.3% vs 3.8%
p-value: p=0.21
Transferring STEMI patients from non-PCI to PCI facilities within an integrated regional program results in equivalent in-hospital clinical outcomes compared to direct presentation, despite longer door-to-balloon times.
Mallidi et al. (2018) conducted a cohort in ST-segment elevation myocardial infarction (STEMI) (n=1,236). Transfer from a non-PCI facility vs. Direct onsite presentation to the primary PCI center was evaluated on Composite of in-hospital major cardiovascular events (death, myocardial infarction, and stroke) (OR 1.50, 95% CI 0.79-2.84, p=0.21). Transfer for primary PCI was not associated with a significant difference in in-hospital major cardiovascular events compared to direct onsite presentation (OR 1.50; 95% CI 0.79-2.84; P=0.21).
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