Myocardial Infarction
Conditions
Brief summary
The investigators prospectively determined the impact on median door-to-balloon time of a protocol mandating (1) emergency department physician activation of the catheterization lab and (2) immediate transfer of the patient to an immediately available catheterization lab by an in-house transfer team consisting of an emergency department nurse, a critical care unit nurse, and a chest pain unit nurse.
Detailed description
Please see Circulation. 2007;116:67-76
Interventions
OTHERED Activation/Immediate Transfer
ED Physician Activation and Immediate Transfer Protocol - see Circulation. 2007;116:67-76
Sponsors
St. Francis Hospitals & Health Centers
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Primary Study Inclusion Criteria: * ST-elevation myocardial infarction patients who undergo percutaneous intervention within 24 hours of ED arrival
Exclusion criteria
* Patients who are inpatients A registry of all patients who undergo emergency cardiac catheterization irrespective of etiology is maintained.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Door-to-Balloon Time | 24 hours |
Secondary
| Measure | Time frame |
|---|---|
| Infarct Size | 48 hours |
| In-Hospital Mortality | ~ 7 days (during index hospitalization) |
| Hospital Length of Stay | ~2-7 days (during index hospitalization) |
| Hospital Costs | ~2-7 days (during Index Hospitalization) and One Year Followup |
Countries
United States
Contacts
Primary ContactUmesh N Khot, M.D.
Backup ContactMichele Johnson-Wood, R.N
Outcome results
None listed