Comparison of in-hospital death following ST-elevation myocardial infarction between secondary emergency and tertiary em
- PDF / 647,183 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 14 Downloads / 182 Views
ORIGINAL ARTICLE
Comparison of in‑hospital death following ST‑elevation myocardial infarction between secondary emergency and tertiary emergency Hiroki Yoshida1 · Kenichi Sakakura1 · Kei Yamamoto1 · Yousuke Taniguchi1 · Takunori Tsukui1 · Masaru Seguchi1 · Hiroyuki Jinnouchi1 · Hiroshi Wada1 · Takashi Moriya2 · Hideo Fujita1 Received: 13 July 2020 / Accepted: 17 August 2020 © Japanese Association of Cardiovascular Intervention and Therapeutics 2020
Abstract In most areas in Japan, patients with ST-elevation myocardial infarction (STEMI) would be transferred to the secondary hospitals or tertiary hospitals according to the judgement of emergency medical service (EMS) staff members. We hypothesized that in-hospital outcomes would be worse in STEMI patients judged as tertiary emergency than in those judged as secondary emergency, which may support the judgement of the current EMS systems. The purpose of this study was to compare inhospital outcomes of STEMI between patients judged as secondary emergency and those judged as tertiary emergency. We included 238 STEMI patients who were transferred to our institution using EMS hotline, and divided those into the secondary emergency group (n = 106) and the tertiary emergency group (n = 132). The primary endpoint was in-hospital death. The prevalence of shock was significantly higher in the tertiary emergency group than in the secondary emergency group (32.6% vs. 10.4%, p
Data Loading...
