PMID- 32635702
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2383-4625 (Print)
IS  - 2383-4625 (Electronic)
IS  - 2383-4625 (Linking)
VI  - 7
IP  - 2
DP  - 2020 Jun
TI  - Effect of percutaneous coronary intervention team prenotification based on real 
      time electrocardiogram transmission in interhospital transfer of ST elevation 
      myocardial infarction patients: pilot trial of Preparing Revascularization Effort 
      before Patients' Arrival via Regionalization Engagement protocol.
PG  - 114-121
LID - 10.15441/ceem.19.077 [doi]
AB  - OBJECTIVE: Prompt reperfusion is important for patients with ST elevation 
      myocardial infarction (STEMI). However, patients often require interhospital 
      transfer for percutaneous coronary intervention (PCI) because not all hospitals 
      can provide. The purpose of this study is to reduce the PCI delay using a 
      regionalization protocol in patients with STEMI following transfer from another 
      hospital lacking PCI facility. METHODS: We established a revascularization 
      protocol designated as Preparing Revascularization Effort before Patients' 
      Arrival via Regionalization Engagement (PREPARE) for the STEMI patients 
      transferred from an outside regional hospital. The protocol included immediate 
      referral acceptance by an emergency physician, real-time electrocardiogram 
      sharing via mobile phone and early activation of the PCI team. We analyzed the 
      differences between the PREPARE and the non-PREPARE groups. RESULTS: In the 
      PREPARE group, the median time from the first hospital visit to the ballooning 
      procedure via PCI at the receiving facility (D1-to-B time) was 111.0 
      (interquartile range 97.0-130.0) minutes, which was significantly shorter than in 
      the non-PREPARE group 134.0 (interquartile range 115.0-182.0) minutes. The 
      proportion of D1-to-B time within 120 minutes was 30.4% in the group and 60.0% in 
      the PREPARE group, which represents a significant difference (P=0.004). 
      Multivariate logistic regression analysis revealed that patient transfer via 
      PREPARE protocol (odds ratio, 3.399; 95% confidence interval, 1.150-10.050, 
      P=0.027) was related to adequate D1-to-B time. No statistically significant 
      differences were found in the hospital length of stay or major adverse cardiac 
      events within 4 weeks. CONCLUSION: The PREPARE protocol is an effective strategy 
      to reduce the time to revascularization of the transferred STEMI patients.
FAU - Jung, Man Soo
AU  - Jung MS
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Kim, Yong Won
AU  - Kim YW
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Lee, Sanghun
AU  - Lee S
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Seo, Jun Seok
AU  - Seo JS
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Lee, Jeong Hun
AU  - Lee JH
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Lee, Seung Chul
AU  - Lee SC
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
FAU - Do, Han Ho
AU  - Do HH
AD  - Department of Emergency Medicine, Dongguk University Ilsan Hospital, Dongguk 
      University College of Medicine, Goyang, Korea.
LA  - eng
PT  - Journal Article
DEP - 20200630
PL  - Korea (South)
TA  - Clin Exp Emerg Med
JT  - Clinical and experimental emergency medicine
JID - 101657493
PMC - PMC7348670
OTO - NOTNLM
OT  - Percutaneous coronary intervention
OT  - Referral and consultation
OT  - ST elevation myocardial infarction
COIS- No potential conflict of interest relevant to this article was reported.
EDAT- 2020/07/09 06:00
MHDA- 2020/07/09 06:01
PMCR- 2020/06/30
CRDT- 2020/07/09 06:00
PHST- 2019/09/14 00:00 [received]
PHST- 2019/11/11 00:00 [accepted]
PHST- 2020/07/09 06:00 [entrez]
PHST- 2020/07/09 06:00 [pubmed]
PHST- 2020/07/09 06:01 [medline]
PHST- 2020/06/30 00:00 [pmc-release]
AID - ceem.19.077 [pii]
AID - ceem-19-077 [pii]
AID - 10.15441/ceem.19.077 [doi]
PST - ppublish
SO  - Clin Exp Emerg Med. 2020 Jun;7(2):114-121. doi: 10.15441/ceem.19.077. Epub 2020 
      Jun 30.