AIMS: To compare reperfusion times and in-hospital outcome of patients with STEMI treated with primary percutaneous coronary intervention (PCI) in a teaching hospital (TH) with or without inter-hospital transfer and in community hospitals. METHODS AND RESULTS: We performed a retrospective analysis of 536 patients with STEMI treated between January 2005 and December 2006 with primary PCI. Three groups were identified. A: 207 patients presented to the TH. B: 121 patients transferred to TH from metropolitan area hospitals (MAH). C: 208 patients presented in two rural area hospitals (RAH) with primary PCI capability. Baseline characteristics were similar. Door-to-balloon (DtB) times were significantly (p<0.001) higher in group B (median 120, range 90-180 min) both compared to group A (median 60, range 45-90 min) and C (median 73, range 55-99 min). In group B 79,5% of patients present a DtB > 90 min. In-hospital mortality was 4.9%, 3.3% and 4.3% respectively in group A, B and C without significant differences. CONCLUSIONS: The expansion of primary PCI to RAH achieves reperfusion delays similar to that of patients admitted to TH. Transferred patients present very higher DtB when compared to patients treated on-site. In-hospital outcome are similar but further studies are warranted.

Comparison of primary angioplasty in rural and metropolitan areas within an integrated network / Giuliani, Gabriele*; Bonechi, Francesco; Vecchio, Sabine; Biondi-Zoccai, Giuseppe G.L.; Nieri, Massimiliano; Vittori, Guido; Spaziani, Gaia; Nassi, Franco; Chechi, Tania; Di Mario, Carlo; Zipoli, Andrea; Margheri, Massimo. - In: EUROINTERVENTION. - ISSN 1774-024X. - ELETTRONICO. - 4:(2008), pp. 365-372. [10.4244/EIJV4I3A65]

Comparison of primary angioplasty in rural and metropolitan areas within an integrated network

GIULIANI, GABRIELE;VECCHIO, SABINE;Vittori, Guido;SPAZIANI, GAIA;Di Mario, Carlo;
2008

Abstract

AIMS: To compare reperfusion times and in-hospital outcome of patients with STEMI treated with primary percutaneous coronary intervention (PCI) in a teaching hospital (TH) with or without inter-hospital transfer and in community hospitals. METHODS AND RESULTS: We performed a retrospective analysis of 536 patients with STEMI treated between January 2005 and December 2006 with primary PCI. Three groups were identified. A: 207 patients presented to the TH. B: 121 patients transferred to TH from metropolitan area hospitals (MAH). C: 208 patients presented in two rural area hospitals (RAH) with primary PCI capability. Baseline characteristics were similar. Door-to-balloon (DtB) times were significantly (p<0.001) higher in group B (median 120, range 90-180 min) both compared to group A (median 60, range 45-90 min) and C (median 73, range 55-99 min). In group B 79,5% of patients present a DtB > 90 min. In-hospital mortality was 4.9%, 3.3% and 4.3% respectively in group A, B and C without significant differences. CONCLUSIONS: The expansion of primary PCI to RAH achieves reperfusion delays similar to that of patients admitted to TH. Transferred patients present very higher DtB when compared to patients treated on-site. In-hospital outcome are similar but further studies are warranted.
2008
4
365
372
Giuliani, Gabriele*; Bonechi, Francesco; Vecchio, Sabine; Biondi-Zoccai, Giuseppe G.L.; Nieri, Massimiliano; Vittori, Guido; Spaziani, Gaia; Nassi, Franco; Chechi, Tania; Di Mario, Carlo; Zipoli, Andrea; Margheri, Massimo
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1135596
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 5
  • ???jsp.display-item.citation.isi??? ND
social impact