Does helicopter transport delay prehospital transfer for STEMI patients in rural areas? Findings from the CRAC France PCI registry.
Aircraft
Electrocardiography
Emergency Medical Services
/ methods
Female
Follow-Up Studies
France
/ epidemiology
Humans
Male
Middle Aged
Patient Transfer
/ statistics & numerical data
Percutaneous Coronary Intervention
/ methods
Prospective Studies
Registries
Risk Factors
Rural Population
ST Elevation Myocardial Infarction
/ mortality
Survival Rate
/ trends
Time Factors
Time-to-Treatment
Helicopter transport
PCI-related delay
STEMI
primary PCI
Journal
European heart journal. Acute cardiovascular care
ISSN: 2048-8734
Titre abrégé: Eur Heart J Acute Cardiovasc Care
Pays: England
ID NLM: 101591369
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
pubmed:
3
9
2019
medline:
1
6
2021
entrez:
3
9
2019
Statut:
ppublish
Résumé
The aim of this study was to analyse delays in emergency medical system transfer of ST-segment elevation myocardial infarction (STEMI) patients to percutaneous coronary intervention (PCI) centres according to transport modality in a rural French region. Data from the prospective multicentre CRAC / France PCI registry were analysed for 1911 STEMI patients: 410 transferred by helicopter and 1501 by ground transport. The primary endpoint was the percentage of transfers with first medical contact to primary percutaneous coronary intervention within the 90 minutes recommended in guidelines. The secondary endpoint was time of first medical contact to primary percutaneous coronary intervention. With helicopter transport, time of first medical contact to primary percutaneous coronary intervention in under 90 minutes was less frequently achieved than with ground transport (9.8% vs. 37.2%; odds ratio 5.49; 95% confidence interval 3.90; 7.73; Helicopter transport of STEMI patients was five times less effective than ground transport in maintaining the 90-minute first medical contact to primary percutaneous coronary intervention time recommended in guidelines, particularly for transfer distances less than 50 km.
Identifiants
pubmed: 31475563
doi: 10.1177/2048872619848976
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM