Reduction in Door-to-Needle Time to Meet Clinical Guideline Recommendations. Outcomes After 1 Year

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• 作者：Cosme Garcí ; a-Garcí ; a ; Lluí ; s Recasens ; Nuria Casanovas ; Faustino Mir ; a ; Francisco del Bañ ; o ; Josep M. Manresa ; Antoni Serra ; Jordi Bruguera
• 关键词：Infarction ; Fibrinolysis ; Reperfusion ; Door-to-needle time
• 刊名：Revista Española de Cardiología (English Edition)
• 出版年：2008
• 出版时间：2008
• 年：2008
• 卷：61
• 期：8
• 页码：888-891
• 全文大小：77 K

文摘

The aim of this study was to reduce the door-to-needle time in patients with ST-elevation acute myocardial infarction by setting up a chest pain service. We compared the door-to-needle time and outcomes at the end of first year of follow-up in patients who received fibrinolysis in the 2 years before implementation of the service (Group 1) and those who received fibrinolysis in the 2 years after its creation (Group 2). In Group 1, the median door-to-needle time was 40 min (P_25-75, 23-52 min); in Group 2, it was 27 min (P_25-75, 15-43 min; P =.003). In addition, the use of reperfusion therapy increased from 55.2 % in Group 1 to 64.7 % in Group 2 (P <.01). After a follow-up period of 1 year, there was no difference in the rate of revascularization, hospital readmission, reinfarction or cardiovascular mortality.