Temporal trends in prehospital management of ST-segment elevation myocardial infarction from 2002 to 2010 in Cote d’Or: Data from the RICO registry (obseRvatoire des Infarctus de Cote d’Or)

Milojevitch, Esther; Lorgis, Luc; Falvo, Nicolas; Buffet, Philippe; Boidron, Laurent; Dentan, Gilles; Avena, Christophe; Beer, Jean‐Claude; Boudenia, Karim; Zeller, Marianne; Freysz, M.; Cottin, Yves

doi:10.1016/j.acvd.2012.08.004

Cited by 8 publications

(2 citation statements)

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“…Therefore, many previous studies have mainly focused on the D2B time. However, treatment delay in patients with STEMI includes pre-admission delay and post-admission delay (13,14), and post-admission delay only accounts for about 25% of treatment delay (15). Therefore, study of pre-admission delays is also very important.…”

Section: Discussionmentioning

confidence: 99%

Optimization of Emergency Care Pathway Beginning with Pre-admission Procedures for Patients with ST-elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Impact on First Medical Contact to Balloon Time and Prognosis

Huang¹,

Yang²,

Lin³

et al. 2016

West Indian Med J

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Objectives: This study was conducted to compare the first medical contact to balloon time (FMC2B) and prognosis of patients with ST-elevation myocardial infarction (STEMI) receiving primary percutaneous coronary intervention (PCI) for two emergency care pathways, both beginning with a telephone call to the number 120 to reach Emergency Medical Services (EMS): 120 EMS-> Emergency Room-> Cardiac Catheterization Lab (optimized pathway); and 120 EMS-> Emergency Room-> Coronary Care Unit (CCU)-> Cardiac Catheterization Lab (conventional pathway). Methods: A total of 183 patients with STEMI who were sent to the hospital by ambulance and received PCI within 12 hours after symptom onset was included in the study. These patients were divided into two groups: 100 were in the optimized pathway group and 83 were in the conventional pathway group. The primary endpoint was FMC2B time, and the secondary endpoints included the door-to-balloon (D2B) time, in-hospital mortality rate, recurrence rate for nonfatal myocardial infarction, cerebrovascular accident rate, heart failure rate, and rate of major cardiovascular events during the follow-up period. Multivariate regression analysis was performed to assess the risk factors for cardiovascular adverse events after the PCI procedure. Results: Both the FMC2B time (100.3 min vs. 145.6 min, P<0.05) and D2B time (77.1 min vs. 115.4 min, P<0.05) were significantly shorter in the optimized pathway group than in the conventional pathway group. The in-hospital mortality rate was significantly lower in the optimized pathway group than in the conventional pathway group (5.0% vs. 15.7%, P<0.05). The rates of rehospitalization due to cardiovascular disease, all-cause death and cardiovascular death during the follow-up period were also all significantly lower in the optimized pathway Optimization of Emergency Care Pathway group than in the conventional pathway group (χ2=5.17, χ2=8.15, χ2=4.55; all P<0.05). Multivariate regression analysis indicated that FMC2B time, D2B time and age were significantly correlated with cardiovascular event rate during the follow-up period (OR= 0.91, P=0.01; OR= 0.93, P=0.00; OR=0.74, P=0.02). Conclusions: The optimized emergency care pathway, beginning with pre-admission procedures, can significantly shorten the FMC2B time and D2B time, and will improve the short-and long-term prognosis for STEMI patients.

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Section: Discussionmentioning

confidence: 99%

Optimization of Emergency Care Pathway Beginning with Pre-admission Procedures for Patients with ST-elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Impact on First Medical Contact to Balloon Time and Prognosis

Huang¹,

Yang²,

Lin³

et al. 2016

West Indian Med J

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“…Lors de la survenue d'un IDM, le comportement le plus adapté pour recevoir les traitements est de recourir le plus rapidement possible aux secours médicalisés, en composant le 15 en France ou le 112 en Europe. Mais toutes les personnes souffrant d'un IDM n'appellent pas les secours de la même manière, ni dans les mêmes délais par rapport au début des symptômes (Burnett et al, 1995 ;Lapandry et al, 2005 ;Milojevitch et al, 2012). Dans au moins un cas sur deux, elles diffèrent l'appel des secours, voire ne les appellent pas (Gilard et al, 2012).…”

Section: Enjeux Sociaux Et Professionnelsunclassified

L’expérience de l’infarctus du myocarde : tensions identitaires des malades et effets sur leur demande de soins

Lafitte¹

2019

ree

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Rationale and design of the FRENch CoHort of myocardial Infarction Evaluation (FRENCHIE) study

Gautier,

Danchin,

Ducrocq

et al. 2024

Archives of Cardiovascular Diseases

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Temporal trends in prehospital management of ST-segment elevation myocardial infarction from 2002 to 2010 in Cote d’Or: Data from the RICO registry (obseRvatoire des Infarctus de Cote d’Or)

Abstract: Despite some improvement in prehospital management practices between 2002 and 2010 in Cote d'Or, there is still significant room for improvement to achieve earlier reperfusion in STEMI patients.

Cited by 8 publications

References 14 publications

Optimization of Emergency Care Pathway Beginning with Pre-admission Procedures for Patients with ST-elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Impact on First Medical Contact to Balloon Time and Prognosis

Optimization of Emergency Care Pathway Beginning with Pre-admission Procedures for Patients with ST-elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Impact on First Medical Contact to Balloon Time and Prognosis

L’expérience de l’infarctus du myocarde : tensions identitaires des malades et effets sur leur demande de soins

Rationale and design of the FRENch CoHort of myocardial Infarction Evaluation (FRENCHIE) study

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