PMID- 24205437
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20131108
LR  - 20211021
IS  - 2090-2840 (Print)
IS  - 2090-2859 (Electronic)
IS  - 2090-2840 (Linking)
VI  - 2013
DP  - 2013
TI  - Reduction in Door-to-Needle Time after Transfer of Thrombolysis Site from CCU to 
      Emergency Department.
PG  - 208271
LID - 10.1155/2013/208271 [doi]
LID - 208271
AB  - Objective. Early restoration of coronary perfusion by thrombolysis or 
      percutaneous coronary intervention is the main modality of treatment to salvage 
      the ischemic myocardium. The earlier the procedure is completed, the greater the 
      benefit is in saving myocardium and restoring its functions. The aim of the study 
      is to compare the door-to-needle time (DNT) in acute ST elevation myocardial 
      infarction (STEMI) in the period prior to December 2008 when the site of 
      thrombolysis was in coronary care unit (CCU) and the period after that when the 
      site was shifted to emergency department (ED). Methods. A retrospective, 
      descriptive study was conducted at Al Khor Hospital, Qatar, in patients with 
      acute STEMI who underwent thrombolysis at CCU and ED from April 2005 until 
      December 2011, to compare the DNT, duration of hospitalization, and mortality. 
      Results. A total of 211 patients with acute STEMI were eligible for thrombolysis; 
      58 patients were thrombolysed in the CCU and 153 in ED. The median DNT was 
      reduced from 33.5 minutes in the CCU to 17 minutes in the ED representing a 
      reduction of more than 50% with a P value of < 0.0001. Conclusion. The transfer 
      of the thrombolysis site from CCU to the ED was associated with a dramatic and 
      significant reduction in median door-to-needle time by more than half.
FAU - Mohammed, Osama
AU  - Mohammed O
AD  - Department of Emergency Medicine, Al Khor Hospital, Hamad Medical Corporation, 
      P.O. Box 21086, Doha, Qatar.
FAU - Paramba, Firjith C
AU  - Paramba FC
FAU - Aboobaker, Naushad V
AU  - Aboobaker NV
FAU - Mohammed, Riyadh A
AU  - Mohammed RA
FAU - Purayil, Nishan K
AU  - Purayil NK
FAU - Jassim, Haitham M
AU  - Jassim HM
FAU - Shariff, Mohammad K
AU  - Shariff MK
FAU - Aslam, Saud M
AU  - Aslam SM
FAU - Muhsen, Farook F
AU  - Muhsen FF
FAU - Al Noor, Khalid H
AU  - Al Noor KH
FAU - Al Kilani, Hani H
AU  - Al Kilani HH
LA  - eng
PT  - Journal Article
DEP - 20130924
PL  - Egypt
TA  - Emerg Med Int
JT  - Emergency medicine international
JID - 101567070
PMC - PMC3800584
EDAT- 2013/11/10 06:00
MHDA- 2013/11/10 06:01
PMCR- 2013/09/24
CRDT- 2013/11/09 06:00
PHST- 2013/01/25 00:00 [received]
PHST- 2013/07/31 00:00 [revised]
PHST- 2013/08/16 00:00 [accepted]
PHST- 2013/11/09 06:00 [entrez]
PHST- 2013/11/10 06:00 [pubmed]
PHST- 2013/11/10 06:01 [medline]
PHST- 2013/09/24 00:00 [pmc-release]
AID - 10.1155/2013/208271 [doi]
PST - ppublish
SO  - Emerg Med Int. 2013;2013:208271. doi: 10.1155/2013/208271. Epub 2013 Sep 24.