PMID: 20654098Jul 27, 2010Paper

Analysis on inter-hospital transfer in patients with acute myocardial infarction in Beijing

Zhonghua xin xue guan bing za zhi
Li SongEmergency Rescue System of Myocardial Infarction Collaborating Group

Abstract

To examine the present situation of inter-hospital transfer and its impact on early reperfusion therapies and short-term outcomes in patients with acute ST-elevation myocardial infarction (STEMI) in Beijing. This cross-sectional and multicenter survey was conducted between 1 January and 31 December, 2006. A total of 789 STEMI patients admitted within 24 h of symptom onset to 19 hospitals capable of performing primary percutaneous coronary intervention (PCI) in Beijing were divided into transfer group and non-transfer group. Data were collected by structured interviews and medical records review. A total of 236 STEMI patients (29.9%) experienced inter-hospital transfer. Of these, 76.7% were transferred from primary and secondary hospitals to tertiary hospitals, 22.9% were transferred from tertiary hospitals to tertiary hospitals, 67.4% were transferred from non-primary PCI centers to primary PCI centers, 32.6% were transferred from primary PCI centers to primary PCI centers. The difference of primary PCI rate (62.7% vs. 66.4%, P = 0.328) and door to balloon time (median, 132 min vs.135 min, P = 0.473) were similar between 2 groups. The symptom onset to balloon time was significantly longer in transfer group than in non-transfer ...Continue Reading

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