Key result
ED fast-track protocol linked to a ~63-minute reduction in STEMI door-to-needle time.
Why the study?
Prehospital and door-to-needle time delays significantly increase mortality risk in STEMI patients, necessitating evaluation of protocols to reduce these delays.
Does a fast-track protocol in the emergency department reduce door-to-needle time in patients with STEMI?
Cohort (n=126)
Does a fast-track protocol in the emergency department reduce door-to-needle time in patients with STEMI?
Effect estimate: 63 minutes saved
Implementing a zero-cost fast-track protocol with emergency department thrombolysis significantly reduces door-to-needle time in STEMI patients.
Zero-cost fast-track protocol shortened door-to-needle time by 63 min in STEMI; leaves open whether outcomes improve in routine practice.
The Himachal Pradesh acute coronary syndrome registry highlighted a prehospital delay of 780 min. Additional door-to-needle time delay by 1 h increases the hazard ratio of death by 20%. We conducted a retrospective (group 1) and a prospective (group 2) analysis of 63 patients each to measure the impact of a fast-track protocol in the emergency department (ED) on the door-to-needle time in ST-elevation myocardial infarction (STEMI). The fast-track protocol involved zero cost to the hospital and saved 63 precious door-to-needle minutes for patients with STEMI. Thrombolysis in ED can save 33 precious minutes wasted in shifting patients to the coronary care unit.
No takes yet. Share an insight, caveat, or question.
Chauhan et al. (2019) conducted a cohort in ST-elevation myocardial infarction (STEMI) (n=126). Fast-track protocol in the emergency department vs. Retrospective standard care group was evaluated on Door-to-needle time (63 minutes saved). A fast-track protocol in the emergency department for patients with STEMI saved 63 minutes in door-to-needle time.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: