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Door-to-balloon Time in Cardiovascular Emergency Care in a Hospital of Northern Brazil
Amoras, Tárcio Sadraque Gomes; Rodrigues, Taymara Barbosa; Menezes, Cláudia Ribeiro; Zaninotto, Christielaine Venzel; Tavares, Roseneide dos Santos.
  • Amoras, Tárcio Sadraque Gomes; Universidade do Estado do Pará. Belém. BR
  • Rodrigues, Taymara Barbosa; Universidade do Estado do Pará. Belém. BR
  • Menezes, Cláudia Ribeiro; Universidade Federal do Pará. Faculdade de Enfermagem. Belém. BR
  • Zaninotto, Christielaine Venzel; Fundação Hospital de Clínicas Gaspar Vianna. Belém. BR
  • Tavares, Roseneide dos Santos; Universidade Federal do Pará. Faculdade de Enfermagem. Belém. BR
Int. j. cardiovasc. sci. (Impr.) ; 34(1): 53-59, Jan.-Feb. 2021. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1154535
ABSTRACT
Abstract Background The use of an adequate door-to-balloon time (≤ 90 minutes) is crucial in improving the quality of care provided to patients with ST-segment elevation myocardial infarction (STEMI). Objective To determine the door-to-balloon time in the management of STEMI patients in a cardiovascular emergency department in a hospital of northern Brazil. Methods This was a cross-sectional study based on review of medical records. A total of 109 patients with STEMI admitted to the emergency department of a referral cardiology hospital in Pará State, Brazil, between May 2017 and December 2017. Correlations of the door-to-balloon time with length of hospital stay and mortality rate were assessed, as well as whether the time components of the door-to-balloon time affected the delay in performing primary percutaneous coronary intervention. Quantitative variables were analyzed by Spearman correlation and the G test was used for categorical variables. A p<0.05 was set as statistically significant. Results Median door-to-balloon time was 104 minutes. No significant correlation was found between door-to-balloon time and length of hospital stay or deaths, but significant correlations were found between door-to-balloon time and door-to-ECG time (p<0.001) and ECG-to-activation (of an interventional cardiologist) time (p<0.001). Conclusion The door-to-balloon time was longer the recommended and was not correlated with the length of hospital stay or in-hospital mortality. Door-to-ECG time and ECG-to-activation time contributed to the delay in performing the primary percutaneous coronary intervention. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0
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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Angioplastie coronaire par ballonnet / Délai jusqu&apos;au traitement / Infarctus du myocarde avec sus-décalage du segment ST Type d'étude: Etude d'étiologie / Etude d'incidence / Étude observationnelle / Étude de prévalence / Facteurs de risque Limites du sujet: Adulte très âgé / Femelle / Humains / Mâle Pays comme sujet: Amérique du Sud / Brésil langue: Anglais Texte intégral: Int. j. cardiovasc. sci. (Impr.) Thème du journal: Cardiologie Année: 2021 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Fundação Hospital de Clínicas Gaspar Vianna/BR / Universidade Federal do Pará/BR / Universidade do Estado do Pará/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Angioplastie coronaire par ballonnet / Délai jusqu&apos;au traitement / Infarctus du myocarde avec sus-décalage du segment ST Type d'étude: Etude d'étiologie / Etude d'incidence / Étude observationnelle / Étude de prévalence / Facteurs de risque Limites du sujet: Adulte très âgé / Femelle / Humains / Mâle Pays comme sujet: Amérique du Sud / Brésil langue: Anglais Texte intégral: Int. j. cardiovasc. sci. (Impr.) Thème du journal: Cardiologie Année: 2021 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Fundação Hospital de Clínicas Gaspar Vianna/BR / Universidade Federal do Pará/BR / Universidade do Estado do Pará/BR