The impact of SARS-CoV-2 on ST-elevation myocardial infarction volume, time to presentation, and door-to-balloon time: A report from a high-volume statewide primary percutaneous intervention program

Arabi, Abdulrahman; Al‐Qahtani, Awad; Arafa, Salah; Altamimi, Omar; Altamimi, Hasan; Jalala, Salem Abu; Rafie, Ihsan; Ali, Mohammed T.; Hamid, Tahir; Al‐Hijji, Mohammed; Alkhani, Murad; Al-Balushi, Sara; Suwaidi, Jassim Al

doi:10.4103/heartviews.heartviews_159_20

Cited by 1 publication

(3 citation statements)

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“…The median DTB time was 142 minutes, which is longer than the time recommended by AHA and ACC for managing patients with STEMI. At the regional level, the current study showed that DTB times in Oman were higher than the times reported in studies conducted in Iran, 8 Qatar, 13 Saudi Arabia, 14 Kuwait, Bahrain, and the United Arab Emirates. 15 At the international level, the DTB time in Oman was also higher than in other countries including Thailand, 16 Singapore, 17 Japan, 18 Nepal, 19 Canada, 20 Australia, 21 and the United States.…”

Section: Discussioncontrasting

confidence: 74%

“…At the regional level, the current study showed that the DTB times in Oman were higher than the times reported in studies conducted in Iran, Qatar, Saudi Arabia, Kuwait, Bahrain and the United Arab Emirates. 8 , 13 – 15 At the international level, the DTB time in Oman was also higher than in other countries including Thailand, Singapore, Japan, Nepal, Canada, Australia and the USA. 16 – 22 …”

Section: Discussionmentioning

confidence: 96%

“…Some studies reported a small sample size ranging from 79 to 150 participants. 16,19 In addition, some of the studies were conducted at a single centre such as studies conducted in Qatar, 13 Iran, 8 Saudi Arabia, 14 Thailand, 16 Singapore, 17 and Canada. 20 The generalisability of such study findings is limited, which might be another factor that contributed to their lower DTB times compared with the current study, which collected data from two settings.…”

Section: Discussionmentioning

confidence: 99%

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Influence of Organisational-Level Factors on Delayed Door-to-Balloon Time among Patients with ST-Elevation Myocardial Infarction

Al-Rumhi,

Al Sabei,

Al-Noumani

et al. 2024

Sultan Qaboos Univ Med J

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Objective: To estimate the door-to-balloon (DTB) time and determine the organisational-level factors that influence delayed DTB times among patients with ST-elevation myocardial infarction in the Sultanate of Oman. Methods: A cross-sectional retrospective study was conducted. All patients who presented to the emergency department at two public hospitals and underwent primary percutaneous interventions during the period of two years were included. Results: The sample included 426 patients. The median door-to-balloon time was 142 minutes. The result of bivariate logistic regression showed that patients who presented to the emergency department with atypical symptoms were three times more likely to have a delayed DTB time compared with patients presenting with typical symptoms (OR = 3.003, 95% CI: 1.409–6.400, p = .004). In addition, patients who presented during off-hours were two times more likely to have a delayed DTB time compared with patients who presented during regular working hours (OR = 2.291, 95% CI: 1.284–4.087, p = .005). Conclusion: To meet the door-to-balloon time recommendation, it is important to ensure that there is adequate staffing during both regular and irregular working hours. Results from this study can be used as a baseline for future studies and inform strategies for improving the quality of care. Keywords: Acute Myocardial Infarction; Clinical Management; Door-to-balloon Time; Emergency Care Systems; Staffing and Scheduling; Oman.

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