Key result
Direct STEMI transport to cath lab linked to ~27-minute shorter door-to-balloon time versus ER evaluation.
Why the study?
The effect of direct transportation by emergency teams to the catheterization laboratory on door-to-balloon time in STEMI patients was not established.
Does direct transport to the catheterization laboratory reduce door-to-balloon time in patients with STEMI?
Population
74 consecutive STEMI patients eligible for primary PCI
Comparison
Direct transport to catheterization laboratory vs transfer via emergency room
Design
Prospective cohort study with matched historic control group
Authors
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Direct cath lab transport shortens door-to-balloon time in STEMI; supports process optimization but remains hypothesis-generating pending randomized confirmation.
Cohort (n=74)
Does direct transport to the catheterization laboratory reduce door-to-balloon time in patients with STEMI?
Effect estimate: median reduction of 27 min
Direct transport of STEMI patients to the catheterization laboratory bypassing the emergency room significantly reduces door-to-balloon time.
Loo et al. (2006) conducted a cohort in Acute ST-elevation myocardial infarction (STEMI) (n=74). Direct transportation to catheterization laboratory ('ER bypass') vs. Standard emergency room evaluation ('ER evaluation') was evaluated on door-to-balloon time (median reduction of 27 min). Direct transport of patients with STEMI to the cardiac catheterization laboratory reduced median door-to-balloon time by 27 minutes compared with standard emergency room evaluation.
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