Key result
Only ~9% of STEMI patients at non-PCI hospitals meet the recommended door-in door-out time target.
Why the study?
There is no clear information about door-in door-out time and transfer time for STEMI patients in non-PCI capable hospitals in the country, and the frequency of meeting these targets nationally is unknown.
Observational (n=135)
No
Compliance with the recommended door-in door-out time of ≤30 minutes for STEMI patients at non-PCI capable hospitals is very poor, with only 8.9% meeting the target.
STEMI transfers from non-PCI hospitals rarely meet door-in-door-out targets; leaves open the need for system interventions to reduce delays.
Background: In non-PCI capable hospitals, another important time to be noticed in patients who have been referred for PCI-capable centers; is the time of doo-in door-out (DIDO), defined as the duration of time from patient discharge from the transferrring hospital. In our country, there is no clear information about the duration of DIDO time and transfer time. Consequently, very little is known about how frequently these targets can be met nationally. Objectives: This study aimed to measure door-in door-out time for ST-elevation myocardial infarction diagnosed patients who admitted to emergency department of a hospital capable of non-percutaneous coronary intervention and to measure whether door-in door-out time meets the guidelines. Methods: This single-center, prospective study was conducted in emergency department (non-percutaneous coronary intervention capable) between 1 August 2015 and 1 August 2016 with patients who presented to the emergency department and were diagnosed with ST-segment elevation myocardial infarction. All the times including door-in time, door to electrocardiogram time, door to emergency medical services activation time, door to defined percutaneous coronary intervention hospital, and finally door-in door-out time were measured and recorded. Results: During the study period, 135 of patients met the inclusion criteria and diagnosed with ST-elevation myocardial infarction and referred to another hospital for percutaneous coronary intervention. When the median values (interquartile range of 25%–75%) of the time periods are examined, it is found door-in door-out time was 55 (43–74) min. It was found that the number of patients meeting the recommended duration of door-in door-out (30 min or less) was 12 (8.9%). Of the remaining 123 patients (91.1%), door-in door-out times were found to be over 30 min. Conclusion: In conclusion, our study showed that compliance with door-in door-out time is very poor and is far behind to met the criteria which is recommended by current guidelines.
No takes yet. Share an insight, caveat, or question.
Doğan et al. (2018) conducted an observational in ST-elevation myocardial infarction (n=135). Presentation to non-PCI capable hospital was evaluated on Door-in door-out time ≤30 minutes. Among STEMI patients presenting to a non-PCI capable hospital, only 8.9% met the recommended door-in door-out time of 30 minutes or less, with a median time of 55 minutes.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: