open access

Vol 69, No 10 (2011)
Original articles
Published online: 2011-10-14
Submitted: 2012-12-28
Get Citation

Primary percutaneous coronary intervention during on- vs off-hours in patients with ST-elevation myocardial infarction. Results from EUROTRANSFER Registry

Zbigniew Siudak, Tomasz Rakowski, Artur Dziewierz, Jacek Skowronek, Joanna Rutka, Maciej Bagieński, Paweł Ranosz, Jacek S. Dubiel, Dariusz Dudek
Kardiol Pol 2011;69(10):1017-1022.

open access

Vol 69, No 10 (2011)
Original articles
Published online: 2011-10-14
Submitted: 2012-12-28

Abstract

Background: Primary percutaneous coronary intervention (PPCI) is regarded as the treatment of choice for ST elevation myocardial infarction (STEMI) patients. It has been emphasised that only experienced centres with round-the-clock cathlab facilities should perform PPCI. Some investigators have doubted whether PPCI performed during ‘off-hours’ is as effective and safe as that performed during regular hours. Papers supporting both possibilities have been published.
Aim: To investigate whether off-hours PPCI is associated with impaired immediate and long-term outcomes based on a contemporary European registry study.
Methods: Consecutive data on STEMI patients referred for PPCI in hospital STEMI networks between November 2005 and January 2007 was gathered. Patients were divided into two groups: PPCI performed during ‘on-hours’ and PPCI performed during ‘off-hours (including Saturdays and Sundays)’. Results: Data from a total of 1,650 patients were collected in the EUROTRANSFER Registry. There were 1,005 patients in the off-hours group (61%) and 645 (39%) patients in the on-hours group. Patients in both groups did not differ in baseline demographics. Thrombolysis before admission to cathlab was more frequently administered to patients off-hours (4.1% vs 2.3%, p = 0.041). The PPCI complications were rare and occurred in similar frequency in the studied groups. Time from chest pain onset to diagnosis of STEMI was shorter in the off-hours group (173 ± 210 vs 183 ± 187, p = 0.007). In-hospital mortality was 3.4% in the on-hours group and 4.3% in the off-hours group (NS).
Conclusions: The PPCI performed in high-volume, experienced invasive cardiology centres in Europe during off-hours is associated with a comparable outcome and safety profile as PPCI performed during regular working hours.
Kardiol Pol 2011; 69, 10: 1017–1022

Abstract

Background: Primary percutaneous coronary intervention (PPCI) is regarded as the treatment of choice for ST elevation myocardial infarction (STEMI) patients. It has been emphasised that only experienced centres with round-the-clock cathlab facilities should perform PPCI. Some investigators have doubted whether PPCI performed during ‘off-hours’ is as effective and safe as that performed during regular hours. Papers supporting both possibilities have been published.
Aim: To investigate whether off-hours PPCI is associated with impaired immediate and long-term outcomes based on a contemporary European registry study.
Methods: Consecutive data on STEMI patients referred for PPCI in hospital STEMI networks between November 2005 and January 2007 was gathered. Patients were divided into two groups: PPCI performed during ‘on-hours’ and PPCI performed during ‘off-hours (including Saturdays and Sundays)’. Results: Data from a total of 1,650 patients were collected in the EUROTRANSFER Registry. There were 1,005 patients in the off-hours group (61%) and 645 (39%) patients in the on-hours group. Patients in both groups did not differ in baseline demographics. Thrombolysis before admission to cathlab was more frequently administered to patients off-hours (4.1% vs 2.3%, p = 0.041). The PPCI complications were rare and occurred in similar frequency in the studied groups. Time from chest pain onset to diagnosis of STEMI was shorter in the off-hours group (173 ± 210 vs 183 ± 187, p = 0.007). In-hospital mortality was 3.4% in the on-hours group and 4.3% in the off-hours group (NS).
Conclusions: The PPCI performed in high-volume, experienced invasive cardiology centres in Europe during off-hours is associated with a comparable outcome and safety profile as PPCI performed during regular working hours.
Kardiol Pol 2011; 69, 10: 1017–1022
Get Citation

Keywords

myocardial infarction; primary percutaneous coronary intervention; registry; off-hours

About this article
Title

Primary percutaneous coronary intervention during on- vs off-hours in patients with ST-elevation myocardial infarction. Results from EUROTRANSFER Registry

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 69, No 10 (2011)

Pages

1017-1022

Published online

2011-10-14

Bibliographic record

Kardiol Pol 2011;69(10):1017-1022.

Keywords

myocardial infarction
primary percutaneous coronary intervention
registry
off-hours

Authors

Zbigniew Siudak
Tomasz Rakowski
Artur Dziewierz
Jacek Skowronek
Joanna Rutka
Maciej Bagieński
Paweł Ranosz
Jacek S. Dubiel
Dariusz Dudek

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., Świętokrzyska 73 street, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl