Mode of admission and its effect on adherence to reperfusion therapy guidelines in Belgian STEMI patients

Objectives: Emergency medical services play a key role in the recognition and treatment of ST-segment elevation myocardial infarction (STEMI). This study evaluates the effect of emergency medical services use on adherence to reperfusion therapy guidelines in Belgian STEMI patients and on in-hospital...

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Bibliographic Details
Published in:European heart journal. Acute cardiovascular care 2016-09, Vol.5 (5), p.461-467
Main Authors: Rousseaux, Céline, Mols, Pierre, Sinnaeve, Peter R, Convens, Carl, Dubois, Philippe, Vranckx, Pascal, Gevaert, Sofie, Coussement, Patrick, Ramadan, Ahmed SE, Beauloye, Christophe, Renard, Marc, Evrard, Patrick, Argacha, Jean-François, De Raedt, Herbert, Wouters, Kristien, Claeys, Marc J
Format: Article
Language:English
Subjects:
Aged
Belgium - epidemiology
Emergency Medical Services
Emergency Service, Hospital
Female
Hospital Mortality
Humans
Male
Middle Aged
Patient Admission - statistics & numerical data
Percutaneous Coronary Intervention - statistics & numerical data
Practice Guidelines as Topic
ST Elevation Myocardial Infarction - mortality
ST Elevation Myocardial Infarction - therapy
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Summary:Objectives: Emergency medical services play a key role in the recognition and treatment of ST-segment elevation myocardial infarction (STEMI). This study evaluates the effect of emergency medical services use on adherence to reperfusion therapy guidelines in Belgian STEMI patients and on in-hospital mortality. Methods: The mode of admission with against without emergency medical services was associated with baseline risk profile, reperfusion modalities and in-hospital mortality in 5692 consecutive STEMI patients from 2012 to 2014. Results: A total of 3896 STEMI patients (68%) were transported to the hospital by emergency medical services, and 1796 patients (32%) arrived at the hospital using their own transport (self-referral). Emergency medical services patients were older than self-referral patients (64 vs. 62 years) and more frequently presented with cardiac arrest (14% vs. 5%) and with cardiogenic shock (10% vs. 4%). Emergency medical services patients received primary percutaneous coronary intervention more often (95% vs. 91%, P
ISSN:2048-8726
2048-8734
DOI:10.1177/2048872616647708