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Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time
BACKGROUND/AIMS: Rapid percutaneous coronary intervention (PCI) is the cornerstone of treatment for ST-elevation myocardial infarction (STEMI). However, there have been conflicting results regarding the differences in clinical outcomes between on-hours and off-hours presentation in STEMI patients. W...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Association of Internal Medicine
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082432/ https://www.ncbi.nlm.nih.gov/pubmed/34781424 http://dx.doi.org/10.3904/kjim.2021.204 |
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author | Oh, Seok Hyun, Dae Young Cho, Kyung Hoon Kim, Ju Han Jeong, Myung Ho |
author_facet | Oh, Seok Hyun, Dae Young Cho, Kyung Hoon Kim, Ju Han Jeong, Myung Ho |
author_sort | Oh, Seok |
collection | PubMed |
description | BACKGROUND/AIMS: Rapid percutaneous coronary intervention (PCI) is the cornerstone of treatment for ST-elevation myocardial infarction (STEMI). However, there have been conflicting results regarding the differences in clinical outcomes between on-hours and off-hours presentation in STEMI patients. We aimed to examine the difference in long-term outcomes between off-hours and on-hours PCI in patients with STEMI. METHODS: The characteristics and clinical outcomes of 5,364 STEMI patients between November 2011 and June 2015 from the Korea Acute Myocardial Infarction Registry-National Institutes of Health (KAMIR-NIH) registry were analyzed. Patients were divided into two groups: the off-hours group (weekdays from 6:01 PM to 7:59 AM, weekends, and legal holidays) and the on-hours group (weekdays from 8:00 AM to 6:00 PM). Major adverse cardiac and cerebrovascular events (MACCEs) were defined as a composite of all-cause mortality, non-fatal myocardial infarction, any revascularization, cerebrovascular accident, and stent thrombosis. The primary endpoint was the occurrence of MACCEs, and all other clinical outcomes were analyzed. RESULTS: A total of 3,119 patients (58.1%) underwent primary PCI due to STEMI during off-hours and 2,245 patients (41.9%) during on-hours. At 36 months, the clinical outcomes of the off-hours group were similar to those of the on-hours group in both the unadjusted and propensity score weighting-adjusted analyses. CONCLUSIONS: Our analysis revealed that the long-term outcomes in STEMI patients admitted to hospitals during off-hours were similar to outcomes of those admitted during on-hours. |
format | Online Article Text |
id | pubmed-9082432 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-90824322022-05-17 Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time Oh, Seok Hyun, Dae Young Cho, Kyung Hoon Kim, Ju Han Jeong, Myung Ho Korean J Intern Med Original Article BACKGROUND/AIMS: Rapid percutaneous coronary intervention (PCI) is the cornerstone of treatment for ST-elevation myocardial infarction (STEMI). However, there have been conflicting results regarding the differences in clinical outcomes between on-hours and off-hours presentation in STEMI patients. We aimed to examine the difference in long-term outcomes between off-hours and on-hours PCI in patients with STEMI. METHODS: The characteristics and clinical outcomes of 5,364 STEMI patients between November 2011 and June 2015 from the Korea Acute Myocardial Infarction Registry-National Institutes of Health (KAMIR-NIH) registry were analyzed. Patients were divided into two groups: the off-hours group (weekdays from 6:01 PM to 7:59 AM, weekends, and legal holidays) and the on-hours group (weekdays from 8:00 AM to 6:00 PM). Major adverse cardiac and cerebrovascular events (MACCEs) were defined as a composite of all-cause mortality, non-fatal myocardial infarction, any revascularization, cerebrovascular accident, and stent thrombosis. The primary endpoint was the occurrence of MACCEs, and all other clinical outcomes were analyzed. RESULTS: A total of 3,119 patients (58.1%) underwent primary PCI due to STEMI during off-hours and 2,245 patients (41.9%) during on-hours. At 36 months, the clinical outcomes of the off-hours group were similar to those of the on-hours group in both the unadjusted and propensity score weighting-adjusted analyses. CONCLUSIONS: Our analysis revealed that the long-term outcomes in STEMI patients admitted to hospitals during off-hours were similar to outcomes of those admitted during on-hours. Korean Association of Internal Medicine 2022-05 2021-11-16 /pmc/articles/PMC9082432/ /pubmed/34781424 http://dx.doi.org/10.3904/kjim.2021.204 Text en Copyright © 2022 The Korean Association of Internal Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Oh, Seok Hyun, Dae Young Cho, Kyung Hoon Kim, Ju Han Jeong, Myung Ho Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time |
title | Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time |
title_full | Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time |
title_fullStr | Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time |
title_full_unstemmed | Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time |
title_short | Long-term outcomes in ST-elevation myocardial infarction patients treated according to hospital visit time |
title_sort | long-term outcomes in st-elevation myocardial infarction patients treated according to hospital visit time |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082432/ https://www.ncbi.nlm.nih.gov/pubmed/34781424 http://dx.doi.org/10.3904/kjim.2021.204 |
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