دورية أكاديمية
The Stent for Life initiative: Factors predicting system delay in patients with ST-segment elevation myocardial infarction.
| العنوان: | The Stent for Life initiative: Factors predicting system delay in patients with ST-segment elevation myocardial infarction. |
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| المؤلفون: | Pereira H; Cardiology Department, Hospital Garcia de Orta, Almada, Portugal. Electronic address: hhpereira@gmail.com., Pinto FJ; Cardiology Department, CCUL, CAML, University of Lisbon, Lisbon, Portugal., Calé R; Cardiology Department, Hospital Garcia de Orta, Almada, Portugal., Pereira E; Cardiology Department, Hospital Garcia de Orta, Almada, Portugal., Mello S; SFL Project Manager, Lisbon, Portugal., Vitorino S; Cardiology Department, Hospital Garcia de Orta, Almada, Portugal., de Sousa PJ; Cardiology Department, Hospital Garcia de Orta, Almada, Portugal; Cardiology Department, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal., Brochado B; Cardiology Department, Centro Hospitalar do Porto, Porto, Portugal., Monteiro S; Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Teles RC; Cardiology Department, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal. |
| مؤلفون مشاركون: | centers participating in the Stent for Life Initiative Portugal |
| المصدر: | Revista portuguesa de cardiologia [Rev Port Cardiol (Engl Ed)] 2018 Aug; Vol. 37 (8), pp. 681-690. Date of Electronic Publication: 2018 Jul 23. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 101770878 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2174-2049 (Electronic) Linking ISSN: 21742049 NLM ISO Abbreviation: Rev Port Cardiol (Engl Ed) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July/Aug. 2011- : [Madrid?] : Elsevier España Original Publication: [Lisboa] : [Sociedade Portuguesa de Cardiologia] |
| مواضيع طبية MeSH: | Stents*, ST Elevation Myocardial Infarction/*surgery , Time-to-Treatment/*statistics & numerical data, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Forecasting ; Humans ; Infant ; Male ; Middle Aged ; Portugal ; Time Factors ; Young Adult |
| مستخلص: | Introduction and Aims: System delay (time between first medical contact and reperfusion therapy) is an indicator of quality of primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI) patients. This study aimed to assess changes in system delay between 2011 and 2015, and to identify its predictors. Methods: The study included 838 patients admitted to 18 Portuguese interventional cardiology centers suspected of having STEMI with less than 12 hours' duration who were referred for primary percutaneous coronary intervention. Data were collected for a one-month period every year from 2011 to 2015. Univariate and multivariate logistic regression models were used to determine predictors of system delay. Results: No significant changes in system delay were observed during the study. Only 27% of patients had a system delay of ≤90 min. Multivariate analysis identified four predictors of system delay: age ≥75 years (OR 2.57; 95% CI 1.50-4.59; p=0.001), attending a center without pPCI (OR 4.08; 95% CI 2.75-6.10; p<0.001), not calling the national medical emergency number (112) (OR 0.47; 95% CI 0.32-0.68; p<0.001), and Central region (OR 3.43; 95% CI 1.60-8.31; p=0.003). Conclusions: The factors age ≥75 years, attending a center without pPCI, not calling 112, and Central region were identified as predicting longer system delay. This knowledge may help in planning interventions to reduce system delay and to improve the clinical outcomes of patients with STEMI. (Copyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| التعليقات: | Comment in: Rev Port Cardiol (Engl Ed). 2018 Aug;37(8):691-692. (PMID: 30055947) |
| فهرسة مساهمة: | Keywords: Atraso do sistema; Enfarte do miocárdio com supradesnivelamento do segmento ST; Fatores preditivos; Predictive factors; ST-segment elevation myocardial infarction; Stent for Life; System delay |
| تواريخ الأحداث: | Date Created: 20180728 Date Completed: 20190318 Latest Revision: 20210602 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.repc.2018.01.011 |
| PMID: | 30049424 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2174-2049 |
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| DOI: | 10.1016/j.repc.2018.01.011 |