Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Use of Helicopters to Reduce Health Care System Delay in Patients With ST-Elevation Myocardial Infarction Admitted to an Invasive Center

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Carpal Tunnel Syndrome in Patients Who Underwent Pacemaker Implantation and Relation to Amyloidosis, Heart Failure, and Mortality

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Comparison of Outcome in Patients With Familial Versus Spontaneous Atrial Septal Defect

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Mitral Valve Infective Endocarditis after Trans-Catheter Aortic Valve Implantation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Timing and Causes of Death in Acute Myocardial Infarction Complicated by Cardiogenic Shock (from the RETROSHOCK Cohort)

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Classification of Left and Right Coronary Arteries in Coronary Angiographies Using Deep Learning

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Microcirculatory Function in Nonhypertrophic and Hypertrophic Myocardium in Patients With Aortic Valve Stenosis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Supplemental Oxygen for Traumatic Brain Injury - A Systematic Review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  • Sivagowry Rasalingam Mørk
  • Morten Thingemann Bøtker
  • Jakob Hjort
  • Lisette Okkels Jensen
  • Frants Pedersen
  • Gitte Jørgensen
  • Erika Frischknect Christensen
  • Marina Krintel Christensen
  • Jens Aarø
  • Freddy Lippert
  • Lars Knudsen
  • Troels Martin Hansen
  • Jacob Steinmetz
  • Christian Juhl Terkelsen
Vis graf over relationer

Timely reperfusion in ST-elevation myocardial infarction (STEMI) is essential. This study aimed to evaluate the reduction in system delay (time from emergency medical service [EMS] call to primary percutaneous coronary intervention [PPCI]) in patients with STEMI when using helicopter EMS (HEMS) rather than ground-based EMS (GEMS). This was a retrospective, nationwide cohort study of consecutive patients with STEMI treated with PPCI at 5 PPCI centers in Denmark. Polynomial spline curves were constructed to describe the association between system delay and distance to the PPCI center stratified by transportation mode. A total of 26,433 patients with STEMI were treated with PPCI between January 1, 1999, and December 31, 2016. In 16,436 patients field triaged directly to the PPCI center, the proportion treated within 120 minutes of the EMS call was 75% for those living 0 to 25 km from the PPCI center compared with 65% for all patients transported by GEMS (median transport distance 50 km [interquartile range 23 to 90]) and 64% for all patients transported by HEMS (median transport distance 119 km [interquartile range 99 to 142]). The estimated reduction in system delay owed to using HEMS rather than GEMS was 14, 16, 20, and 29 minutes for patients living 75, 100, 125, and 170 km from a PPCI center. In conclusion, this study confirmed that using HEMS ensures that most patients with STEMI, living up to 170 km from a PPCI center, can be treated within 120 minutes of their EMS call provided they are field triaged directly to the PPCI center.

OriginalsprogEngelsk
TidsskriftThe American journal of cardiology
Vol/bind171
Sider (fra-til)7-14
Antal sider8
ISSN0002-9149
DOI
StatusUdgivet - 15 maj 2022

Bibliografisk note

Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.

ID: 75636865