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Decade-long trends in the timeliness of receipt of a primary percutaneous coronary intervention

Overview of attention for article published in Clinical Epidemiology, June 2016
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Title
Decade-long trends in the timeliness of receipt of a primary percutaneous coronary intervention
Published in
Clinical Epidemiology, June 2016
DOI 10.2147/clep.s102225
Pubmed ID
Authors

Robert Goldberg, Han-Yang Chen, Joel Gore, Kate Lapane, Jorge Yarzebski, Sharina Person, Catarina Kiefe

Abstract

The purpose of this study was to examine decade-long trends (2001-2011) in, and factors associated with, door-to-balloon time within 90 minutes of hospital presentation among patients hospitalized with ST-segment elevation myocardial infarction (STEMI) who received a primary percutaneous coronary intervention (PCI). Residents of central Massachusetts hospitalized with STEMI who received a primary PCI at two major PCI-capable medical centers in central Massachusetts on a biennial basis between 2001 and 2011 comprised the study population (n=629). Multivariable regression analyses were used to examine factors associated with failing to receive a primary PCI within 90 minutes after emergency department (ED) arrival. The average age of this patient population was 61.9 years; 30.5% were women, and 91.7% were White. During the years under study, 50.9% of patients received a primary PCI within 90 minutes of ED arrival; this proportion increased from 2001/2003 (17.2%) to 2009/2011 (70.5%) (P<0.001). Having previously undergone coronary artery bypass graft surgery, arriving at the ED by car/walk-in and during off-hours were significantly associated with a higher risk of failing to receive a primary PCI within 90 minutes of ED arrival. The likelihood of receiving a timely primary PCI in residents of central Massachusetts hospitalized with STEMI at the major teaching/community medical centers increased dramatically during the years under study. Several groups were identified for purposes of heightened surveillance and intervention efforts to reduce the likelihood of failing to receive a timely primary PCI among patients acutely diagnosed with STEMI.

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Geographical breakdown

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Unknown 9 100%

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Unknown 9 100%
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Unknown 9 100%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 June 2016.
All research outputs
#5,965,932
of 7,866,440 outputs
Outputs from Clinical Epidemiology
#160
of 230 outputs
Outputs of similar age
#188,114
of 268,966 outputs
Outputs of similar age from Clinical Epidemiology
#9
of 15 outputs
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