Effect of emergency department in-hospital tele-electrocardiographic triage and interventional cardiologist activation of the infarct team on door-to-balloon times in ST-segment-elevation acute myocardial infarction. Chen, K., Yen, D. H., Chen, C., Young, M. S., & Yin, W. The American journal of cardiology, 107(10):1430–1435, May, 2011. doi abstract bibtex Current guidelines recommend that \textgreater75% of patients with ST-elevation myocardial infarction (STEMI) receive primary percutaneous coronary intervention (PPCI) within 90 minutes. The goal has been hardly achievable, so we conducted a 2-year before-and-after study to determine the impact of emergency department (ED) tele-electrocardiographic (tele-ECG) triage and interventional cardiologist activation of the infarct team at door-to-balloon time (D2BT) and the proportion of patients undergoing PPCI within 90 minutes since arrival. In total 105 consecutive patients with acute STEMI (mean age 62 ± 13 years, 82% men) were studied, 54 before and 51 after the change in protocol. The 51patients in the tele-ECG group underwent tele-electrocardiography at the ED and electrocardiograms were transmitted to a third-generation mobile telephone of an on-call interventional cardiologist within 10 minutes of ED arrival. The infarct team was activated and PPCI was performed by the interventional cardiologist. Fifty-four patients with acute STEMI who underwent PPCI in the year before implementation of tele-electrocardiography served as control subjects. Median D2BT of the tele-ECG group was 86 minutes, significantly shorter than the median time of 125 minutes of the control group (p \textless0.0001). The proportion of patients who achieved a D2BT \textless90 minutes increased from 44% in the control group to 76% in the tele-ECG group (p = 0.0001). In conclusion, implementation of ED tele-ECG triage and interventional cardiologist activation of the infarct team can significantly shorten D2BT and result in a larger proportion of patients achieving guideline recommendations.
@article{chen_effect_2011,
title = {Effect of emergency department in-hospital tele-electrocardiographic triage and interventional cardiologist activation of the infarct team on door-to-balloon times in {ST}-segment-elevation acute myocardial infarction},
volume = {107},
issn = {1879-1913},
doi = {10.1016/j.amjcard.2011.01.015},
abstract = {Current guidelines recommend that {\textgreater}75\% of patients with ST-elevation myocardial infarction (STEMI) receive primary percutaneous coronary intervention (PPCI) within 90 minutes. The goal has been hardly achievable, so we conducted a 2-year before-and-after study to determine the impact of emergency department (ED) tele-electrocardiographic (tele-ECG) triage and interventional cardiologist activation of the infarct team at door-to-balloon time (D2BT) and the proportion of patients undergoing PPCI within 90 minutes since arrival. In total 105 consecutive patients with acute STEMI (mean age 62 ± 13 years, 82\% men) were studied, 54 before and 51 after the change in protocol. The 51patients in the tele-ECG group underwent tele-electrocardiography at the ED and electrocardiograms were transmitted to a third-generation mobile telephone of an on-call interventional cardiologist within 10 minutes of ED arrival. The infarct team was activated and PPCI was performed by the interventional cardiologist. Fifty-four patients with acute STEMI who underwent PPCI in the year before implementation of tele-electrocardiography served as control subjects. Median D2BT of the tele-ECG group was 86 minutes, significantly shorter than the median time of 125 minutes of the control group (p {\textless}0.0001). The proportion of patients who achieved a D2BT {\textless}90 minutes increased from 44\% in the control group to 76\% in the tele-ECG group (p = 0.0001). In conclusion, implementation of ED tele-ECG triage and interventional cardiologist activation of the infarct team can significantly shorten D2BT and result in a larger proportion of patients achieving guideline recommendations.},
language = {eng},
number = {10},
journal = {The American journal of cardiology},
author = {Chen, Kuan-Chun and Yen, David Hung-Tsang and Chen, Chen-De and Young, Mason Shing and Yin, Wei-Hsian},
month = may,
year = {2011},
pmid = {21414598},
keywords = {Angioplasty, Balloon, Coronary, Electrocardiography, Emergency Medical Services, Emergency Service, Hospital, Humans, Male, Middle Aged, Myocardial Infarction, Practice Guidelines as Topic, Telemedicine, Time Factors, Treatment Outcome, Triage},
pages = {1430--1435}
}
Downloads: 0
{"_id":"8tRetRaocZRNG4QWA","bibbaseid":"chen-yen-chen-young-yin-effectofemergencydepartmentinhospitalteleelectrocardiographictriageandinterventionalcardiologistactivationoftheinfarctteamondoortoballoontimesinstsegmentelevationacutemyocardialinfarction-2011","downloads":0,"creationDate":"2018-12-05T13:23:20.422Z","title":"Effect of emergency department in-hospital tele-electrocardiographic triage and interventional cardiologist activation of the infarct team on door-to-balloon times in ST-segment-elevation acute myocardial infarction","author_short":["Chen, K.","Yen, D. H.","Chen, C.","Young, M. S.","Yin, W."],"year":2011,"bibtype":"article","biburl":"https://bibbase.org/zotero/emmanuel.chazard","bibdata":{"bibtype":"article","type":"article","title":"Effect of emergency department in-hospital tele-electrocardiographic triage and interventional cardiologist activation of the infarct team on door-to-balloon times in ST-segment-elevation acute myocardial infarction","volume":"107","issn":"1879-1913","doi":"10.1016/j.amjcard.2011.01.015","abstract":"Current guidelines recommend that \\textgreater75% of patients with ST-elevation myocardial infarction (STEMI) receive primary percutaneous coronary intervention (PPCI) within 90 minutes. The goal has been hardly achievable, so we conducted a 2-year before-and-after study to determine the impact of emergency department (ED) tele-electrocardiographic (tele-ECG) triage and interventional cardiologist activation of the infarct team at door-to-balloon time (D2BT) and the proportion of patients undergoing PPCI within 90 minutes since arrival. In total 105 consecutive patients with acute STEMI (mean age 62 ± 13 years, 82% men) were studied, 54 before and 51 after the change in protocol. The 51patients in the tele-ECG group underwent tele-electrocardiography at the ED and electrocardiograms were transmitted to a third-generation mobile telephone of an on-call interventional cardiologist within 10 minutes of ED arrival. The infarct team was activated and PPCI was performed by the interventional cardiologist. Fifty-four patients with acute STEMI who underwent PPCI in the year before implementation of tele-electrocardiography served as control subjects. Median D2BT of the tele-ECG group was 86 minutes, significantly shorter than the median time of 125 minutes of the control group (p \\textless0.0001). The proportion of patients who achieved a D2BT \\textless90 minutes increased from 44% in the control group to 76% in the tele-ECG group (p = 0.0001). In conclusion, implementation of ED tele-ECG triage and interventional cardiologist activation of the infarct team can significantly shorten D2BT and result in a larger proportion of patients achieving guideline recommendations.","language":"eng","number":"10","journal":"The American journal of cardiology","author":[{"propositions":[],"lastnames":["Chen"],"firstnames":["Kuan-Chun"],"suffixes":[]},{"propositions":[],"lastnames":["Yen"],"firstnames":["David","Hung-Tsang"],"suffixes":[]},{"propositions":[],"lastnames":["Chen"],"firstnames":["Chen-De"],"suffixes":[]},{"propositions":[],"lastnames":["Young"],"firstnames":["Mason","Shing"],"suffixes":[]},{"propositions":[],"lastnames":["Yin"],"firstnames":["Wei-Hsian"],"suffixes":[]}],"month":"May","year":"2011","pmid":"21414598","keywords":"Angioplasty, Balloon, Coronary, Electrocardiography, Emergency Medical Services, Emergency Service, Hospital, Humans, Male, Middle Aged, Myocardial Infarction, Practice Guidelines as Topic, Telemedicine, Time Factors, Treatment Outcome, Triage","pages":"1430–1435","bibtex":"@article{chen_effect_2011,\n\ttitle = {Effect of emergency department in-hospital tele-electrocardiographic triage and interventional cardiologist activation of the infarct team on door-to-balloon times in {ST}-segment-elevation acute myocardial infarction},\n\tvolume = {107},\n\tissn = {1879-1913},\n\tdoi = {10.1016/j.amjcard.2011.01.015},\n\tabstract = {Current guidelines recommend that {\\textgreater}75\\% of patients with ST-elevation myocardial infarction (STEMI) receive primary percutaneous coronary intervention (PPCI) within 90 minutes. The goal has been hardly achievable, so we conducted a 2-year before-and-after study to determine the impact of emergency department (ED) tele-electrocardiographic (tele-ECG) triage and interventional cardiologist activation of the infarct team at door-to-balloon time (D2BT) and the proportion of patients undergoing PPCI within 90 minutes since arrival. In total 105 consecutive patients with acute STEMI (mean age 62 ± 13 years, 82\\% men) were studied, 54 before and 51 after the change in protocol. The 51patients in the tele-ECG group underwent tele-electrocardiography at the ED and electrocardiograms were transmitted to a third-generation mobile telephone of an on-call interventional cardiologist within 10 minutes of ED arrival. The infarct team was activated and PPCI was performed by the interventional cardiologist. Fifty-four patients with acute STEMI who underwent PPCI in the year before implementation of tele-electrocardiography served as control subjects. Median D2BT of the tele-ECG group was 86 minutes, significantly shorter than the median time of 125 minutes of the control group (p {\\textless}0.0001). The proportion of patients who achieved a D2BT {\\textless}90 minutes increased from 44\\% in the control group to 76\\% in the tele-ECG group (p = 0.0001). In conclusion, implementation of ED tele-ECG triage and interventional cardiologist activation of the infarct team can significantly shorten D2BT and result in a larger proportion of patients achieving guideline recommendations.},\n\tlanguage = {eng},\n\tnumber = {10},\n\tjournal = {The American journal of cardiology},\n\tauthor = {Chen, Kuan-Chun and Yen, David Hung-Tsang and Chen, Chen-De and Young, Mason Shing and Yin, Wei-Hsian},\n\tmonth = may,\n\tyear = {2011},\n\tpmid = {21414598},\n\tkeywords = {Angioplasty, Balloon, Coronary, Electrocardiography, Emergency Medical Services, Emergency Service, Hospital, Humans, Male, Middle Aged, Myocardial Infarction, Practice Guidelines as Topic, Telemedicine, Time Factors, Treatment Outcome, Triage},\n\tpages = {1430--1435}\n}\n\n","author_short":["Chen, K.","Yen, D. H.","Chen, C.","Young, M. S.","Yin, W."],"key":"chen_effect_2011","id":"chen_effect_2011","bibbaseid":"chen-yen-chen-young-yin-effectofemergencydepartmentinhospitalteleelectrocardiographictriageandinterventionalcardiologistactivationoftheinfarctteamondoortoballoontimesinstsegmentelevationacutemyocardialinfarction-2011","role":"author","urls":{},"keyword":["Angioplasty","Balloon","Coronary","Electrocardiography","Emergency Medical Services","Emergency Service","Hospital","Humans","Male","Middle Aged","Myocardial Infarction","Practice Guidelines as Topic","Telemedicine","Time Factors","Treatment Outcome","Triage"],"downloads":0},"search_terms":["effect","emergency","department","hospital","tele","electrocardiographic","triage","interventional","cardiologist","activation","infarct","team","door","balloon","times","segment","elevation","acute","myocardial","infarction","chen","yen","chen","young","yin"],"keywords":["angioplasty","balloon","coronary","electrocardiography","emergency medical services","emergency service","hospital","humans","male","middle aged","myocardial infarction","practice guidelines as topic","telemedicine","time factors","treatment outcome","triage"],"authorIDs":[],"dataSources":["XiRGowmyYWQpwjiC9"]}