PMID- 18624030
OWN - NLM
STAT- MEDLINE
DCOM- 20081028
LR  - 20240426
IS  - 1470-2118 (Print)
IS  - 1473-4893 (Electronic)
IS  - 1470-2118 (Linking)
VI  - 8
IP  - 3
DP  - 2008 Jun
TI  - Primary percutaneous coronary intervention for acute ST elevation myocardial 
      infarction--first year's experience of a tertiary referral centre in the UK.
PG  - 259-63
AB  - This study evaluated the first year's experience of a large interventional centre 
      in the UK after a primary percutaneous coronary intervention (PCI) programme that 
      runs 24 hours a day and seven days a week was started. Workload, patient outcome, 
      length of stay, and effect on the remainder of the interventional service were 
      analysed. The primary PCI service for a mainly urban population of 800,000 was 
      started in April 2005. All relevant characteristics, details of procedures, 
      outcome, and other data on quality of care were collected and entered 
      prospectively onto a computerised database. Data were analysed with SPSS (version 
      13.0). Over a 12-month period, 305 patients were diagnosed with ST elevation 
      myocardial infarction (STEMI), of whom 259 (85%) were accepted for primary PCI. 
      Median door-to-balloon time was 98 minutes, which decreased from 106 minutes in 
      the first six months to 93 minutes in the second six months (p < 0.005). 
      In-hospital mortality was 4.5% and 30-day mortality was 4.9%. Median length of 
      stay was three days, which was reduced from the six days previously reported 
      after thrombolysis. Waiting times for other acute and elective PCI procedures did 
      not increase after initiation of the primary PCI programme. Primary PCI can be 
      delivered successfully in a setting in the UK with low mortality and reduced 
      length of stay and without a negative impact on other interventional services.
FAU - Dorsch, M F
AU  - Dorsch MF
AD  - Department of Cardiology, Leeds General Infirmary, Leeds.
FAU - Blackman, D J
AU  - Blackman DJ
FAU - Greenwood, J P
AU  - Greenwood JP
FAU - Blaxill, J M
AU  - Blaxill JM
FAU - Priestley, C
AU  - Priestley C
FAU - Hunter, S
AU  - Hunter S
FAU - Jani, M
AU  - Jani M
FAU - McLenachan, J M
AU  - McLenachan JM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Clin Med (Lond)
JT  - Clinical medicine (London, England)
JID - 101092853
SB  - IM
MH  - Aged
MH  - Angioplasty, Balloon, Coronary/*methods
MH  - *Electrocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Length of Stay/trends
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/mortality/physiopathology/*therapy
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
MH  - United Kingdom/epidemiology
PMC - PMC4953825
EDAT- 2008/07/16 09:00
MHDA- 2008/10/29 09:00
PMCR- 2008/06/01
CRDT- 2008/07/16 09:00
PHST- 2008/07/16 09:00 [pubmed]
PHST- 2008/10/29 09:00 [medline]
PHST- 2008/07/16 09:00 [entrez]
PHST- 2008/06/01 00:00 [pmc-release]
AID - S1470-2118(24)00220-3 [pii]
AID - clinmedicine [pii]
AID - 10.7861/clinmedicine.8-3-259 [doi]
PST - ppublish
SO  - Clin Med (Lond). 2008 Jun;8(3):259-63. doi: 10.7861/clinmedicine.8-3-259.