PMID- 22006600
OWN - NLM
STAT- MEDLINE
DCOM- 20120221
LR  - 20111018
IS  - 1897-4279 (Electronic)
IS  - 0022-9032 (Linking)
VI  - 69
IP  - 10
DP  - 2011
TI  - Primary percutaneous coronary intervention during on- vs off-hours in patients 
      with ST-elevation myocardial infarction. Results from EUROTRANSFER Registry.
PG  - 1017-22
AB  - 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.
FAU - Siudak, Zbigniew
AU  - Siudak Z
AD  - 2nd Department of Cardiology, University Hospital, Krakow, Poland.
FAU - Rakowski, Tomasz
AU  - Rakowski T
FAU - Dziewierz, Artur
AU  - Dziewierz A
FAU - Skowronek, Jacek
AU  - Skowronek J
FAU - Rutka, Joanna
AU  - Rutka J
FAU - Bagienski, Maciej
AU  - Bagienski M
FAU - Ranosz, Pawel
AU  - Ranosz P
FAU - Dubiel, Jacek S
AU  - Dubiel JS
FAU - Dudek, Dariusz
AU  - Dudek D
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Poland
TA  - Kardiol Pol
JT  - Kardiologia polska
JID - 0376352
SB  - IM
CIN - Kardiol Pol. 2011;69(10):1023. PMID: 22006601
MH  - After-Hours Care
MH  - Aged
MH  - Angioplasty, Balloon, Coronary/*adverse effects/mortality
MH  - Clinical Competence/*standards
MH  - Europe
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/mortality/*therapy
MH  - Registries
MH  - Risk Factors
MH  - Survival Analysis
MH  - Time Factors
EDAT- 2011/10/19 06:00
MHDA- 2012/02/22 06:00
CRDT- 2011/10/19 06:00
PHST- 2011/10/19 06:00 [entrez]
PHST- 2011/10/19 06:00 [pubmed]
PHST- 2012/02/22 06:00 [medline]
PST - ppublish
SO  - Kardiol Pol. 2011;69(10):1017-22.