Comparison of Outcomes of ST-Elevation Myocardial Infarction Treated by Percutaneous Coronary Intervention During Off-Hours Versus On-Hours

Previous studies have reported worse outcomes and longer door-to-balloon times (DBTs) in patients presenting with ST-elevation myocardial infarction (STEMI) after normal working hours, during weekends, and on holidays (off-hours) compared with normal business hours (on-hours). Recent studies, howeve...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2017-11, Vol.120 (10), p.1742-1754
Main Authors: Enezate, Tariq H., Omran, Jad, Al-Dadah, Ashraf S., Alpert, Martin, Mahmud, Ehtisham, Patel, Mitul, Aronow, Herbert D., Bhatt, Deepak L.
Format: Article
Language:English
Subjects:
Angioplasty
Balloon treatment
Clinical trials
Confidence intervals
Heart attacks
Humans
Implants
Intervention
Mortality
Myocardial infarction
Patient Admission - statistics & numerical data
Patients
Percutaneous Coronary Intervention - methods
ST Elevation Myocardial Infarction - surgery
Studies
Surgical implants
Thromboembolism
Thrombosis
Time Factors
Time-to-Treatment
Treatment Outcome
Working hours
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Previous studies have reported worse outcomes and longer door-to-balloon times (DBTs) in patients presenting with ST-elevation myocardial infarction (STEMI) after normal working hours, during weekends, and on holidays (off-hours) compared with normal business hours (on-hours). Recent studies, however, have reported similar outcomes regardless of presentation time. MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were queried from January 1990 through December 2016. Only studies comparing STEMI outcomes during off-hours versus on-hours with percutaneous coronary intervention were included. A random-effects meta-analysis model was used to pool outcomes across the studies. Clinical end points included short- (
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2017.07.082