The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction

Bibliographic Details
Main Author: Pereira, Hélder
Publication Date: 2018
Other Authors: Pinto, Fausto J., Calé, Rita, Pereira, Ernesto, Mello, Sofia, Vitorino, Sílvia, Sousa, Pedro Jerónimo de, Brochado, Bruno, Monteiro, Sílvia, Teles, Rui Campante
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/34833
Summary: © 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved.
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spelling The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarctionIniciativa stent for life : fatores preditivos de atraso do sistema em doentes com enfarte do miocárdio com supradesnivelamento do segmento STPredictive factorsSystem delayST-segment elevation myocardial infarctionStent for Life© 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved.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.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.ElsevierRepositório da Universidade de LisboaPereira, HélderPinto, Fausto J.Calé, RitaPereira, ErnestoMello, SofiaVitorino, SílviaSousa, Pedro Jerónimo deBrochado, BrunoMonteiro, SílviaTeles, Rui Campante2018-09-21T14:45:33Z2018-082018-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/34833engRev Port Cardiol. 2018;37(8):681-6900870-255110.1016/j.repc.2018.01.011info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T13:57:40Zoai:repositorio.ulisboa.pt:10451/34833Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T02:59:05.922358Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
Iniciativa stent for life : fatores preditivos de atraso do sistema em doentes com enfarte do miocárdio com supradesnivelamento do segmento ST
title The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
spellingShingle The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
Pereira, Hélder
Predictive factors
System delay
ST-segment elevation myocardial infarction
Stent for Life
title_short The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
title_full The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
title_fullStr The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
title_full_unstemmed The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
title_sort The stent for life initiative : factors predicting system delay in patients with ST-segment elevation myocardial infarction
author Pereira, Hélder
author_facet Pereira, Hélder
Pinto, Fausto J.
Calé, Rita
Pereira, Ernesto
Mello, Sofia
Vitorino, Sílvia
Sousa, Pedro Jerónimo de
Brochado, Bruno
Monteiro, Sílvia
Teles, Rui Campante
author_role author
author2 Pinto, Fausto J.
Calé, Rita
Pereira, Ernesto
Mello, Sofia
Vitorino, Sílvia
Sousa, Pedro Jerónimo de
Brochado, Bruno
Monteiro, Sílvia
Teles, Rui Campante
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Pereira, Hélder
Pinto, Fausto J.
Calé, Rita
Pereira, Ernesto
Mello, Sofia
Vitorino, Sílvia
Sousa, Pedro Jerónimo de
Brochado, Bruno
Monteiro, Sílvia
Teles, Rui Campante
dc.subject.por.fl_str_mv Predictive factors
System delay
ST-segment elevation myocardial infarction
Stent for Life
topic Predictive factors
System delay
ST-segment elevation myocardial infarction
Stent for Life
description © 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved.
publishDate 2018
dc.date.none.fl_str_mv 2018-09-21T14:45:33Z
2018-08
2018-08-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/34833
url http://hdl.handle.net/10451/34833
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Port Cardiol. 2018;37(8):681-690
0870-2551
10.1016/j.repc.2018.01.011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833601552242180096

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