%0 Journal Article
%T The effects of prearrival direct notification call to interventional cardiologist on door
%A Han Cheol Lee
%A Hye Won Lee
%A Jeong Cheon Choe
%A Jin Hee Choi
%A Jin Hee Kim
%A Jin Sup Park
%A Jinhee Ahn
%A Jun-Hyok Oh
%A Jung Hyun Choi
%A Kwang Soo Cha
%A Mi Jin Yang
%A Taek Jong Hong
%J Hong Kong Journal of Emergency Medicine
%@ 2309-5407
%D 2019
%R 10.1177/1024907918794782
%X Rapid door-to-balloon times in ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention are associated with favorable outcomes. We evaluated the effects of prearrival direct notification calls to interventional cardiologists on door-to-balloon time for ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention. A 24-h hotline was created to allow prearrival direct notification calls to interventional cardiologists when transferring ST-elevation myocardial infarction patients. In an urban, tertiary referral center, patients who visited via inter-facility or the emergency department directly were included. Clinical parameters, time to reperfusion therapy, and in-hospital mortality were compared between patients with and without prearrival notifications. Of 228 ST-elevation myocardial infarction patients, 95 (41.7%) were transferred with prearrival notifications. In these patients, door-to-balloon time was shorter (50.0 vs 60.0£¿min, p£¿=£¿0.010) and the proportion of patients with door-to-balloon time£¿<£¿90£¿min was higher (89.5% vs 75.9%, p£¿=£¿0.034) than patients without notifications. These improvements were more pronounced during ¡°off-duty¡± hours (52.0 vs 78.0£¿min, p£¿=£¿0.001; 88.3% vs 72.3%, p£¿=£¿0.047, respectively) than during ¡°on-duty¡± hours (37.5 vs 43.5£¿min, p£¿=£¿0.164; 94.4% vs 79.4%, p£¿=£¿0.274, respectively). In addition, door-to-activation time (¨C39 vs 11£¿min, p£¿<£¿0.001) and door-to-catheterization laboratory arrival time (33 vs 42£¿min, p£¿=£¿0.007) were shorter in patients with prearrival notifications than those without. However, in-hospital mortality was similar between the two groups (6.3% vs 6.8%, p£¿=£¿0.892). Prearrival direct notification calls to interventional cardiologists significantly improved the door-to-balloon time and the proportion of patients with door-to-balloon time <£¿90£¿min through rapid patient transport in primary percutaneous coronary intervention scheduled hospital and readiness of the catheterization laboratory
%K Myocardial infarction
%K angioplasty
%K primary percutaneous coronary intervention
%K door-to-balloon time
%U https://journals.sagepub.com/doi/full/10.1177/1024907918794782