Decade-long trends in the timeliness of receipt of a primary percutaneous coronary intervention
Gore, Joel M.
Lapane, Kate L.
Yarzebski, Jorge L.
Person, Sharina D.
Kiefe, Catarina I.
Goldberg, Robert J.
UMass Chan AffiliationsMeyers Primary Care Institute
Department of Medicine, Division of Cardiovascular Medicine
Department of Quantitative Health Sciences
Document TypeJournal Article
KeywordsST-segment elevation myocardial infarction
percutaneous coronary intervention
Health Services Administration
MetadataShow full item record
AbstractOBJECTIVES: The purpose of this study was to examine decade-long trends (2001-2011) in, and factors associated with, door-to-balloon time within 90 minutes of hospital presentation among patients hospitalized with ST-segment elevation myocardial infarction (STEMI) who received a primary percutaneous coronary intervention (PCI). METHODS: Residents of central Massachusetts hospitalized with STEMI who received a primary PCI at two major PCI-capable medical centers in central Massachusetts on a biennial basis between 2001 and 2011 comprised the study population (n=629). Multivariable regression analyses were used to examine factors associated with failing to receive a primary PCI within 90 minutes after emergency department (ED) arrival. RESULTS: The average age of this patient population was 61.9 years; 30.5% were women, and 91.7% were White. During the years under study, 50.9% of patients received a primary PCI within 90 minutes of ED arrival; this proportion increased from 2001/2003 (17.2%) to 2009/2011 (70.5%) (P < 0.001). Having previously undergone coronary artery bypass graft surgery, arriving at the ED by car/walk-in and during off-hours were significantly associated with a higher risk of failing to receive a primary PCI within 90 minutes of ED arrival. CONCLUSION: The likelihood of receiving a timely primary PCI in residents of central Massachusetts hospitalized with STEMI at the major teaching/community medical centers increased dramatically during the years under study. Several groups were identified for purposes of heightened surveillance and intervention efforts to reduce the likelihood of failing to receive a timely primary PCI among patients acutely diagnosed with STEMI.
Clin Epidemiol. 2016 Jun 6;8:141-9. doi: 10.2147/CLEP.S102225. eCollection 2016. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/40091
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc/3.0/