{"id":2558,"date":"2010-08-17T16:00:38","date_gmt":"2010-08-17T20:00:38","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=2558"},"modified":"2011-07-19T17:44:53","modified_gmt":"2011-07-19T21:44:53","slug":"going-beyond-door-to-balloon-by-starting-earlier","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/08\/17\/going-beyond-door-to-balloon-by-starting-earlier\/","title":{"rendered":"Going Beyond Door-to-Balloon by Starting Earlier"},"content":{"rendered":"<p>Efforts to speed delivery of PCI to STEMI patients have focused on shortening the door-to-balloon time. Now a group of Danish researchers propose that efforts to improve care must include assessment of treatment from the time of the patient&#8217;s first contact with the emergency medical system. Analyzing historical data from 6209 MI patients who received primary PCI, they found a strong relationship between system delay and long-term mortality:<\/p>\n<ul>\n<li>0-60 minute delay: 15.4% mortality<\/li>\n<li>61-120 minutes: 23.3% mortality<\/li>\n<li>121-180 minutes: 28.1% mortality<\/li>\n<li>181-360 minutes: 30.8% mortality<\/li>\n<\/ul>\n<p>In their <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/short\/304\/7\/763\">report in <em>JAMA<\/em>,<\/a> the researchers conclude that &#8220;increased focus on the total health care system delay may optimize triage of patients with STEMI and may be the key to further improving survival of these patients.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Efforts to speed delivery of PCI to STEMI patients have focused on shortening the door-to-balloon time. Now a group of Danish researchers propose that efforts to improve care must include assessment of treatment from the time of the patient&#8217;s first contact with the emergency medical system. Analyzing historical data from 6209 MI patients who received [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,9],"tags":[303,245,301,302,257],"class_list":["post-2558","post","type-post","status-publish","format-standard","hentry","category-general","category-interventional-cardiology","tag-d2b","tag-mi","tag-pci","tag-primary-pci","tag-stemi"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/2558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=2558"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/2558\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=2558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=2558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=2558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}