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Time delays in each step from symptom onset to treatment in acute myocardial infarction: Results from a nation-wide TURKMI registry

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Erişim

info:eu-repo/semantics/openAccess

Tarih

2021

Yazar

Erol, Mustafa Kemal
Kayıkcıoğlu, Meral
Kılıçkap, Mustafa
Güler, Arda
Öztürk, Önder
Tuncay, Burcu
İnci, Sinan
Balaban, İsmail
Tatar, Fatih Paşa
Çırakoğlu, Ömer Faruk
Gazi, Emine
Bakırcı, Eftal Murat
Yayla, Çağrı
Astarcıoğlu, Mehmet Ali
Karaduman, Bilge Duran
Aksu, Ekrem
Alsancak, Yakup
Emlek, Nadir
Tigen, Mustafa Kürşat
Çağlar, Nihan Turan
Düz, Ramazan
İnanır, Mehmet
Özdoğan, Öner
Yavuzgil, Oğuz

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Künye

Erol, M. K., Kayıkçıoğlu, M., Kılıçkap, M., Güler, A., Öztürk, Ö., Tuncay, B., İnci, S., Balaban, İ., Tatar, F., Çırakoğlu, Ö. F., Gazi, E., Bakırcı, E. M., Yayla, Ç., Astarcıoğlu, M. A., Duran Karaduman, B., Aksu, E., Alsancak, Y., Emlek, N., Tigen, M. K., Turhan Cağlar, N., … Yavuzgil, O. (2021). Time delays in each step from symptom onset to treatment in acute myocardial infarction: Results from a nation-wide TURKMI registry. Anatolian journal of cardiology, 25(5), 294–303. https://doi.org/10.5152/AnatolJCardiol.2021.39797

Özet

Objective: In this study, we aimed to analyze the TURKMI registry to identify the factors associated with delays from symptom onset to treatment that would be the focus of improvement efforts in patients with acute myocardial infarction (AMI) in Turkey. Methods: The TURKMI study is a nation-wide registry that was conducted in 50 centers capable of 24/7 primary percutaneous coronary intervention (PCI). All consecutive patients (n=1930) with AMI admitted to coronary care units within 48 hours of symptom onset were prospectively enrolled during a predefined 2-week period between November 1, 2018, and November 16, 2018. All the patients were examined in detail with regard to the time elapsed at each step from symptom onset to initiation of treatment, including door-to-balloon time (D2B) and total ischemic time (TIT). Results: After excluding patients who suffered an AMI within the hospital (2.6%), the analysis was conducted for 1879 patients. Most of the patients (49.5%) arrived by self-transport, 11.8% by emergency medical service (EMS) ambulance, and 38.6% were transferred from another EMS without PCI capability. The median time delay from symptom-onset to EMS call was 52.5 (15-180) min and from EMS call to EMS arrival 15 (10-20) min. In ST-segment elevation myocardial infarction (STEMI), the median D2B time was 36.5 (25-63) min, and median TIT was 195 (115-330) min. TIT was significantly prolonged from 151 (90-285) min to 250 (165-372) min in patients transferred from non-PCI centers. The major significant factors associated with time delay were patient-related delay and the mode of hospital arrival, both in STEMI and non-STEMI. Conclusion: The baseline evaluation of the TURKMI study revealed that an important proportion of patients presenting with AMI within 48 hours of symptom onset reach the PCI treatment center later than the time proposed in the guidelines, and the use of EMS for admission to hospital is extremely low in Turkey. Patient-related factors and the mode of hospital admission were the major factors associated with the time delay to treatment.

Kaynak

Anatolian Journal of Cardiology

Cilt

25

Sayı

5

Bağlantı

https://doi.org/10.5152/AnatolJCardiol.2021.39797
https://hdl.handle.net/11436/6451

Koleksiyonlar

  • PubMed İndeksli Yayınlar Koleksiyonu [2443]
  • Scopus İndeksli Yayınlar Koleksiyonu [5990]
  • TF, Dahili Tıp Bilimleri Bölümü Koleksiyonu [1569]
  • TR-Dizin İndeksli Yayınlar Koleksiyonu [2844]
  • WoS İndeksli Yayınlar Koleksiyonu [5260]



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