Mia K. Aitavaara-Anttila, Heini H. Pernu, Tuuli K. Rumpunen, Jani P.O. Similä, Janne H. Liisanantti, Timo I. Kaakinen, Tiina M. Erkinaro, Lasse V. Raatiniemi, Factors associated with time delay to angiography in acute ST-elevation myocardial infarction - A retrospective cohort study in Northern Finland, Australasian Emergency Care, Volume 25, Issue 3, 2022, Pages 213-218, ISSN 2588-994X, https://doi.org/10.1016/j.auec.2021.11.003
Factors associated with time delay to angiography in acute ST-elevation myocardial infarction : a retrospective cohort study in Northern Finland
|Author:||Aitavaara-Anttila, Mia K.1,2; Pernu, Heini H.3; Rumpunen, Tuuli K.4;|
1Research Group of Surgery, Anesthesiology and Intensive Care, Division of Anesthesiology Oulu University Hospital, Medical Research Centre, University of Oulu, Oulu, Finland
2Rovaniemi Health Center, Rovaniemi, Finland
3Jokilaakso rescue department, Ylivieska, Finland
4Oulu-Koillismaa rescue department, Oulu, Finland
5Centre for Pre-Hospital Emergency Care, Oulu University Hospital, Oulu, Finland
6Department of Anesthesia and Intensive Care, Oulu University Hospital, Oulu, Finland
|Online Access:||PDF Full Text (PDF, 0.6 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2023031331284
|Publish Date:|| 2023-03-13
Background: The delay of percutaneous coronary intervention increases the risk of heart failure and mortality in STEMI. The aim of this study was to examine the time intervals of EMS and the factors associated with the time delay to angiography in patients with STEMI.
Methods: The present study was conducted in Northern Ostrobothnia, Finland in 2014–2016. All patients transported to the hospital by EMS who were diagnosed with STEMI and underwent a primary angiography within 24 h of arrival were included. Angiography was defined as delayed if it was performed over 120 min of the first medical contact (FMC).
Results: 310 patients met the inclusion criteria during the study period. Time from the FMC to angiography was less than 120 min in 231 patients (74.5%). In multivariate analysis, the factors associated with delayed angiography were the absence of chest pain (OR 2.46 (1.18–5.13),p = 0.016), dyspnea (OR 3.11 (1.54–6.28),p = 0.002), the treatment protocol violations by EMS (OR 2.41 (0.99–5.80),p = 0.050), treatment initiation at a primary health care center (OR 3.64 (1.39–9.48),p = 0.008), and the distance to hospital of over 100 km (OR 11.87 (6.14–22.93),p < 0.001).
Conclusion: In our study, treatment protocol violations, non-specific symptoms, and the distance to hospital of over 100 km were associated with primary angiography in patients with STEMI transported to the hospital by EMS.
Australasian emergency care
|Pages:||213 - 218|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3126 Surgery, anesthesiology, intensive care, radiology
© 2021 The Author(s). Published by Elsevier Ltd on behalf of College of Emergency Nursing Australasia. CC_BY_4.0.