Comparative study of major complication within 72 hours in Rayong province patients with ST-segment Elevate-Acute Coronary Syndrome in Pharmacoinvasive Strategy and Primary PCI Strategy

Comparison of Treatment Outcomes Between Pharmacoinvasive and Primary PCI Strategies in Patients with ST-Segment Elevation Acute Coronary Syndrome (STE-ACS) in Rayong Province: A Retrospective Study on Complication Rates and Emergency Medical System Efficiency

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

TCTR

Registry ID

TCTR20250515005

Enrollment

346

Registered

2025-05-15

Start date

2019-01-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

ST-segment elevation acute coronary syndrome ST-segment Elevation Acute Coronary Syndrome, Pharmacoinvasive strategy, Primary PCI strategy, Emergency Medical System, Total ischemic time

Interventions

A group of patients with acute coronary syndrome who had an electrocardiogram showing ST-segment elevation and were diagnosed with ST-segment elevation - Acute Coronary Syndrome (STE-ACS) with symptom

Treatment,Treatment

Pharmacoinvasive strategy,Primary PCI strategy

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patients who received medical treatment from prehospital emergency medical service teams, were referred from other hospitals, or presented at the Emergency Department of Rayong Hospital during the period from January 2019 to December 2023. 2. Patients diagnosed with ST-segment Elevation Acute Coronary Syndrome (STE-ACS) who developed symptoms within the first 12 hours, and who achieved door-to-wire crossing within the following time frames: 2.1 Within Mueang District, Rayong Province: within 90 minutes 2.2 Other districts in Rayong Province: within 120 minutes

Exclusion criteria

Exclusion criteria: 1. Patients who were picked up by EMS but died before arrival at the hospital or before undergoing PCI. 2. Patients who refused treatment, had incomplete treatment, or escaped during emergency department care. 3. Patients with a prior history of coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). 4. Patients who died from causes unrelated to STE-ACS, such as trauma or septicemia. 5. Patients with incomplete or missing data.

Design outcomes

Primary

Measure	Time frame
major complication within 72 hours 72 hours Information from medical records	—

Secondary

Measure	Time frame
Prevent adverse events: treatment, medication, and various tests 72 hours Information from medical records	—

Countries

Thailand

Contacts

Public Contactpakkaphon aiempaiboonphan

rayong hospital

superbas_ke_ke@hotmail.com038 611 104

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026