Effects of Door-In to Door-Out Time on Mortality Among ST-Segment Elevation Myocardial Infarction Patients Transferred for Primary Percutaneous Coronary Intervention ― Systematic Review and Meta-Analysis ―
Junichi Yamaguchi, Tetsuya Matoba, Migaku Kikuchi, Yuichiro Minami, Sunao Kojima, Hiroyuki Hanada, Toshiaki Mano, Takahiro Nakashima, Katsutaka Hashiba, Takeshi Yamamoto, Akihito Tanaka, Kunihiro Matsuo, Naoki Nakayama, Osamu Nomura, Yoshio Tahara, Hiroshi Nonogi
Abstract
Background:Primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) is now widely accepted. Recent guidelines have focused on total ischemic time, because shorter total ischemic time is associated with a more favorable prognosis. The door-in to door-out (DIDO) time, defined as time from arrival at a non-PCI-capable hospital to leaving for a PCI-capable hospital, may affect STEMI patient prognosis. However, a relevant meta-analysis is lacking.
Topics & Concepts
MedicinePercutaneous coronary interventionConventional PCIClinical endpointMyocardial infarctionInternal medicineConfidence intervalCardiologyIncidence (geometry)DIDORelative riskRetrospective cohort studyCohortEmergency medicineStroke (engine)Randomized controlled trialCohort studySurgeryInterval (graph theory)Random effects modelIschemic strokeMortality rateRate ratioProportional hazards modelAcute Myocardial Infarction ResearchCOVID-19 and healthcare impactsCoronary Interventions and Diagnostics