Navigation Links
Lengthy Hospital Transfers May Hamper Heart Attack Care
Date:11/28/2011

MONDAY, Nov. 28 (HealthDay News) -- Most U.S. heart attack patients who have to be transferred to another hospital for a procedure to open narrowed or blocked coronary arteries aren't sent in the recommended time of 30 minutes or less, new research shows.

The study included nearly 14,000 heart attack patients who required procedures such as balloon angioplasty or stent placement (called percutaneous coronary intervention, or PCI). The patients were treated at 1,034 hospitals between Jan. 1 and Dec. 31, 2009.

The researchers looked at the patients' door-in to door-out (DIDO) time, the time between their arrival at and transfer from the first hospital to the second hospital where they underwent the procedures.

Only 9.7 percent (1,343 patients) had a DIDO time within 30 minutes, while 31 percent (4,267 patients) had a DIDO time of more than 90 minutes, according to study author Jeph Herrin, of Yale University School of Medicine in New Haven, Conn., and colleagues.

The investigators also found that the average DIDO time was 8.9 minutes longer for women than for men, 9.1 minutes longer for blacks than for whites, and 18.3 minutes longer for patients aged 18 to 35 than for those aged 46 to 55.

The study was published in the Nov. 28 issue of the Archives of Internal Medicine.

In a related research letter published online by the journal, University of California, San Francisco, researchers found that creation of a 24-hour cardiac catheterization laboratory shortened the length of time it took heart attack patients to undergo balloon angioplasty at a public hospital that previously had to transfer patients for the procedure.

Before the cardiac catheterization laboratory was created, the average door-to-catheterization and door-to-balloon times for patients who had to be transferred to another hospital were 184 minutes and 200 minutes, respectively. No patients had their coronary arteries reopened (revascularization) in less than 90 minutes.

After the 24-hour facility was created, average door-to-procedure times fell to 50 minutes for catheterization and 84 minutes for balloon angioplasty, respectively, and 65 percent of patients were revascularized in less than 90 minutes.

In an accompanying editorial published online, journal editor Dr. Rita F. Redberg noted that less than one-fourth of the nearly 5,000 acute care hospitals in the United States have PCI capability and even less can provide the treatment 24 hours a day, seven days a week.

"Despite years of hard work and noble efforts by many individuals and professional organizations . . . to enable hospitals to either provide primary PCI or reduce DIDO time in transferring to a facility that does, results have been disappointing," Redberg wrote. "After years of well-intentioned arduous efforts to decrease DIDO time, it is time to consider other strategies."

More information

The U.S. National Heart, Lung, and Blood Institute has more about coronary angioplasty.

-- Robert Preidt

SOURCES: Archives of Internal Medicine, news release, Nov. 28, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Four Common Meds Send Thousands of Seniors to Hospital: CDC
2. Dana-Farber/Childrens Hospital Boston study identifies possible therapy for radiation sickness
3. More Blacks Die in Hospital After Diverticulitis Surgery
4. Patients fare just as well if their nonemergency angioplasty is performed at hospitals
5. UH Rainbow Babies & Childrens Hospital begins studies on vitamin D to prevent heart disease
6. Hospital safety climate linked to both patient and nurse injuries: Drexel study
7. St. Michaels Hospital receives Grand Challenges Explorations funding
8. University Hospitals Case Medical Center neurosurgeons champion brain bypass in select patients
9. The Childrens Hospital of Philadelphia receives Grand Challenges Explorations funding
10. Prostate cancer surgery better at teaching hospitals
11. Hospital for special surgery physician-scientists share advances in rheumatology research
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Lengthy Hospital Transfers May Hamper Heart Attack Care
(Date:6/27/2016)... ... June 27, 2016 , ... ... announced today its affiliation with Tennessee Counseling Association. This new relationship ... of the Tennessee Counseling Association, adding exclusive benefits and promotional offers. , "TCA ...
(Date:6/26/2016)... Michigan (PRWEB) , ... June 26, 2016 , ... On ... as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in Battle ... honor of the city’s history as home to some of the world’s leading providers ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, ... work on several important health care topics including advance care planning, healthcare costs ...
(Date:6/25/2016)... ... ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his Bachelors in ... School of Medicine at UCLA. He trained in Internal Medicine at Scripps Green Hospital ... at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to train in ...
(Date:6/24/2016)... ... , ... Those who have experienced traumatic events may suffer from a complex ... as drug or alcohol abuse, as a coping mechanism. To avoid this pain and ... a traumatic event. , Trauma sufferers tend to feel a range of emotions, from ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 23, 2016  MedSource announced today that it ... software solution of choice.  This latest decision demonstrates ... to their clients by offering a state-of-the-art electronic ... establishes nowEDC as the EDC platform of choice ... clients.  "nowEDC has long been a preferred EDC ...
(Date:6/23/2016)... 23, 2016  In a startling report released today, National ... by lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... of how states are tackling the worst drug crisis in recorded ... – Kentucky , New Mexico ... . Of the 28 failing states, three – Michigan ...
(Date:6/23/2016)... , June 23, 2016 Research ... Pharma News Issue 52" report to their offering. ... in influenza treatment creates a favourable commercial environment for MedImmune ... growing patient base that will serve to drive considerable growth ... vaccine would serve to cap sales considerably, but development is ...
Breaking Medicine Technology: