Shortening Door-to-Balloon Time: The Use of Ambulance versus Private Vehicle for Patients with ST-Segment Elevation Acute Myocardial Infarction.

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI:10.2147/OAEM.S435446
Abdulrhman Saleh Alghamdi, Abdullah Alshibani, Meshary Binhotan, Meshal Alharbi, Saleh S Algarni, Mohammed Musaed Alzahrani, Abdulmalik Nasser Asiri, Faisal Faleh Alsulami, Kamal Ayoub, Abdullah Alabdali
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Abstract

Purpose: Time is critical when dealing with acute myocardial infarction (AMI) patients in the Emergency Department (ED), as 90 min is crucial for overall health. Using non-EMS transportation for critical patients, such as patients with acute myocardial infarction, to a hospital might delay the rapid identification of the underlying medical disease and initiating definitive treatment. We aim to evaluate the association between the mode of transportation and the D2B time in patients presenting at the ED with AMI.

Patients and methods: We conducted a retrospective cohort study with patients who presented at ED with AMI and underwent percutaneous coronary intervention (PCI). The participants were patients with confirmed AMI at the ED of King Abdullah Medical City (KAMC) from January 2019 to December 2019.

Results: In total, 162 AMI patients were enrolled in the study and divided based on the method of transportation. Less than half (n=65, 40.1%) were transported with an ambulance and 97 (59.9%) patients with a private car. The door-to-balloon (D2B) time for the ambulance group was 93.6±38.31 minutes, and the private car group was 93.8±30.88 minutes.

Conclusion: There was no statistical significance when comparing the D2B time between the private car group and the ambulance group (P = 0.1870). Finally, ambulance transport significantly shortened the time to first ED physician contact. However, it was not associated with shortened D2B time when compared to private vehicle transport.

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缩短 "门到气球 "时间:对 ST 段抬高急性心肌梗死患者使用救护车与私家车的对比。
目的:在急诊科(ED)处理急性心肌梗死(AMI)患者时,时间至关重要,因为 90 分钟对整体健康至关重要。将急性心肌梗死患者等危重病人送往医院时使用非急诊科交通方式,可能会延误快速识别潜在疾病和开始明确治疗的时间。我们旨在评估急诊室急性心肌梗死患者的交通方式与 D2B 时间之间的关系:我们对在急诊室就诊并接受经皮冠状动脉介入治疗(PCI)的急性心肌梗死患者进行了一项回顾性队列研究。参与者为2019年1月至2019年12月期间在阿卜杜拉国王医疗城(KAMC)急诊室确诊的AMI患者:共有162名AMI患者被纳入研究,并根据交通方式进行了划分。不到一半的患者(n=65,40.1%)使用救护车运送,97 名患者(59.9%)使用私家车运送。救护车组的门到气球(D2B)时间为(93.6±38.31)分钟,私家车组为(93.8±30.88)分钟:结论:私家车组与救护车组的 D2B 时间比较无统计学意义(P = 0.1870)。最后,救护车运送大大缩短了首次联系急诊科医生的时间。但是,与私家车运送相比,救护车运送与缩短 D2B 时间无关。
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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
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