Key result
Pre-hospital thrombolysis for STEMI was associated with similar long-term all-cause mortality compared to primary PCI (16% vs 19%; P=0.4) over a median follow-up of 6.2 years.
Why the study?
Having previously reported 12-month outcomes for STEMI patients receiving pre-hospital thrombolysis, the authors aimed to examine their long-term outcomes.
Does pre-hospital thrombolysis followed by early transfer provide comparable long-term mortality outcomes to primary PCI in STEMI patients?
Cohort (n=484)
Does pre-hospital thrombolysis followed by early transfer provide comparable long-term mortality outcomes to primary PCI in STEMI patients?
Absolute Event Rate: 16% vs 19%
p-value: p=0.4
Pre-hospital thrombolysis followed by early transfer to a PCI-capable center offers comparable long-term mortality to primary PCI in STEMI patients in regional areas.
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Khan et al. (2019) conducted a cohort in ST-segment elevation myocardial infarction (STEMI) (n=484). Pre-hospital thrombolysis vs. Primary percutaneous coronary intervention (PCI) was evaluated on All-cause mortality (p=0.4). Pre-hospital thrombolysis for STEMI was associated with similar long-term all-cause mortality compared to primary PCI (16% vs 19%; P=0.4) over a median follow-up of 6.2 years.
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