PMID- 29359134
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220311
IS  - 2297-055X (Print)
IS  - 2297-055X (Electronic)
IS  - 2297-055X (Linking)
VI  - 4
DP  - 2017
TI  - Staff Recall Travel Time for ST Elevation Myocardial Infarction Impacted by 
      Traffic Congestion and Distance: A Digitally Integrated Map Software Study.
PG  - 89
LID - 10.3389/fcvm.2017.00089 [doi]
LID - 89
AB  - BACKGROUND: Recent evidence suggests hospitals fail to meet guideline specified 
      time to percutaneous coronary intervention (PCI) for a proportion of ST elevation 
      myocardial infarction (STEMI) presentations. Implicit in achieving this time is 
      the rapid assembly of crucial catheter laboratory staff. As a proof-of-concept, 
      we set out to create regional maps that graphically show the impact of traffic 
      congestion and distance to destination on staff recall travel times for STEMI, 
      thereby producing a resource that could be used by staff to improve reperfusion 
      time for STEMI. METHODS: Travel times for staff recalled to one inner and one 
      outer metropolitan hospital at midnight, 6 p.m., and 7 a.m. were estimated using 
      Google Maps Application Programming Interface. Computer modeling predictions were 
      overlaid on metropolitan maps showing color coded staff recall travel times for 
      STEMI, occurring within non-peak and peak hour traffic congestion times. RESULTS: 
      Inner metropolitan hospital staff recall travel times were more affected by 
      traffic congestion compared with outer metropolitan times, and the latter was 
      more affected by distance. The estimated mean travel times to hospital during 
      peak hour were greater than midnight travel times by 13.4 min to the inner and 
      6.0 min to the outer metropolitan hospital at 6 p.m. (p < 0.001). At 7 a.m., the 
      mean difference was 9.5 min to the inner and 3.6 min to the outer metropolitan 
      hospital (p < 0.001). Only 45% of inner metropolitan staff were predicted to 
      arrive within 30 min at 6 p.m. compared with 100% at midnight (p < 0.001), and 
      56% of outer metropolitan staff at 6 p.m. (p = 0.021). CONCLUSION: Our results 
      show that integration of map software with traffic congestion data, distance to 
      destination and travel time can predict optimal residence of staff when on-call 
      for PCI.
FAU - Cole, Justin
AU  - Cole J
AD  - Peninsula Health Heart Service, Frankston, VIC, Australia.
AD  - Peninsula Clinical School, Monash University, Melbourne, VIC, Australia.
FAU - Beare, Richard
AU  - Beare R
AD  - Peninsula Clinical School, Monash University, Melbourne, VIC, Australia.
AD  - Developmental Imaging, Murdoch Children's Research Institute, Parkville, VIC, 
      Australia.
FAU - Phan, Thanh G
AU  - Phan TG
AD  - School of Clinical Sciences, Monash Health, Monash University, Melbourne, VIC, 
      Australia.
FAU - Srikanth, Velandai
AU  - Srikanth V
AD  - Peninsula Clinical School, Monash University, Melbourne, VIC, Australia.
FAU - MacIsaac, Andrew
AU  - MacIsaac A
AD  - Department of Cardiology, St Vincent's Hospital, Melbourne, VIC, Australia.
FAU - Tan, Christianne
AU  - Tan C
AD  - Peninsula Health Heart Service, Frankston, VIC, Australia.
FAU - Tong, David
AU  - Tong D
AD  - Peninsula Health Heart Service, Frankston, VIC, Australia.
FAU - Yee, Susan
AU  - Yee S
AD  - School of Medicine, Monash University, Melbourne, VIC, Australia.
FAU - Ho, Jesslyn
AU  - Ho J
AD  - School of Medicine, Monash University, Melbourne, VIC, Australia.
FAU - Layland, Jamie
AU  - Layland J
AD  - Peninsula Health Heart Service, Frankston, VIC, Australia.
AD  - Peninsula Clinical School, Monash University, Melbourne, VIC, Australia.
AD  - Department of Cardiology, St Vincent's Hospital, Melbourne, VIC, Australia.
LA  - eng
PT  - Journal Article
DEP - 20180108
PL  - Switzerland
TA  - Front Cardiovasc Med
JT  - Frontiers in cardiovascular medicine
JID - 101653388
PMC - PMC5766675
OTO - NOTNLM
OT  - ST elevation myocardial infarction
OT  - ST elevation myocardial infarction protocol
OT  - catheterization laboratory activation
OT  - staff travel time
OT  - time to percutaneous coronary intervention
EDAT- 2018/01/24 06:00
MHDA- 2018/01/24 06:01
PMCR- 2017/01/01
CRDT- 2018/01/24 06:00
PHST- 2017/10/12 00:00 [received]
PHST- 2017/12/15 00:00 [accepted]
PHST- 2018/01/24 06:00 [entrez]
PHST- 2018/01/24 06:00 [pubmed]
PHST- 2018/01/24 06:01 [medline]
PHST- 2017/01/01 00:00 [pmc-release]
AID - 10.3389/fcvm.2017.00089 [doi]
PST - epublish
SO  - Front Cardiovasc Med. 2018 Jan 8;4:89. doi: 10.3389/fcvm.2017.00089. eCollection 
      2017.