Does pre-hospital diagnosis and direct referral reduce treatment delay in patients with ST-elevation myocardial infarction?
Patients with ST-elevation myocardial infarction (STEMI) scheduled for primary percutaneous coronary intervention (PCI)
Pre-hospital diagnosis and direct referral to an interventional centre
In-hospital diagnosis (initial admission to a local hospital)
Treatment delay
Pre-hospital diagnosis and direct routing to a PCI-capable center reduces treatment delays for patients with STEMI.
In a cohort of patients scheduled for admission to a local hospital and subsequent transferral to an interventional centre for primary PCI, those diagnosed pre-hospitally had shorter treatment delay compared with those diagnosed in hospital, both in the setting of initial admission to a local hospital, and to an even larger extent in the setting of referral directly to the interventional centre.
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Christian Juhl Terkelsen
Jens Flensted Lassen
Bjarne Linde Nørgaard
European Heart Journal
Aarhus University Hospital
Analysis Group (United States)
Regional Hospital Randers
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Terkelsen et al. (Mon,) studied this question.
www.synapsesocial.com/papers/69df6e2858b92af24d7a18d1 — DOI: https://doi.org/10.1093/eurheartj/ehi100
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