Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction
Objective: There are conflicting data on the clinical outcomes of percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) based on the time of admission to the catheterization laboratory. Thus, we aimed to assess clinical outcomes in an unselected cohort of co...
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doaj-35d776e41ea64b3db0c637a04c9b0f8e2021-07-07T04:10:20ZengElsevierHellenic Journal of Cardiology1109-96662021-05-01623212218Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarctionTomasz Tokarek0Artur Dziewierz1Krzysztof Plens2Tomasz Rakowski3Anna Jaroszyńska4Stanisław Bartuś5Zbigniew Siudak6Department of Cardiology and Cardiovascular Interventions, University Hospital, 2 Jakubowskiego St., 30-688 Krakow, Poland; Corresponding author. Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland. Tel.: +48 12 400 22 62.Department of Cardiology and Cardiovascular Interventions, University Hospital, 2 Jakubowskiego St., 30-688 Krakow, Poland; 2nd Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, 31-501, Krakow, PolandKCRI, 5B Miechowska St., 30-055, Krakow, PolandDepartment of Cardiology and Cardiovascular Interventions, University Hospital, 2 Jakubowskiego St., 30-688 Krakow, Poland; 2nd Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, 31-501, Krakow, PolandFaculty of Medicine and Health Science, Jan Kochanowski University, 25-317, Kielce, PolandDepartment of Cardiology and Cardiovascular Interventions, University Hospital, 2 Jakubowskiego St., 30-688 Krakow, Poland; 2nd Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, 31-501, Krakow, PolandFaculty of Medicine and Health Science, Jan Kochanowski University, 25-317, Kielce, PolandObjective: There are conflicting data on the clinical outcomes of percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) based on the time of admission to the catheterization laboratory. Thus, we aimed to assess clinical outcomes in an unselected cohort of consecutive patients with STEMI treated with PCI during on-and-off hours of work. Methods: A total of 99,783 patients were included in the analysis. Patients were divided using the most frequently used definition: On-hours (Monday-Friday 07:00 AM-04:59 PM); off-hours (Monday-Friday 05:00 PM-06:59 AM, Saturday, Sunday, and nonworking holidays) (37,469 matched pairs).To avoid potential preselection bias, a propensity score was calculated to compare on-and-off hour groups. Results: Higher radiation doses were observed for PCIs performed during off-hours (1055.2(±1006.5) vs. 1081.6(±1003.25)[mGy] and p = 0.001). A similar prevalence of periprocedural complications was observed during on- and off-hours. However, there was a higher mortality rate during off-hours than during regular working hours (1.17% (439) vs. 1.49% (559) and p = 0.001). Conclusions: Primary PCIs in STEMI performed during off-hours might be associated with a higher rate of periprocedural mortality and higher radiation doses than procedures conducted during regular working hours.http://www.sciencedirect.com/science/article/pii/S1109966621000117RegistryReal-worldMyocardial infarctionRegular hoursMortality |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tomasz Tokarek Artur Dziewierz Krzysztof Plens Tomasz Rakowski Anna Jaroszyńska Stanisław Bartuś Zbigniew Siudak |
spellingShingle |
Tomasz Tokarek Artur Dziewierz Krzysztof Plens Tomasz Rakowski Anna Jaroszyńska Stanisław Bartuś Zbigniew Siudak Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction Hellenic Journal of Cardiology Registry Real-world Myocardial infarction Regular hours Mortality |
author_facet |
Tomasz Tokarek Artur Dziewierz Krzysztof Plens Tomasz Rakowski Anna Jaroszyńska Stanisław Bartuś Zbigniew Siudak |
author_sort |
Tomasz Tokarek |
title |
Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction |
title_short |
Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction |
title_full |
Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction |
title_fullStr |
Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction |
title_full_unstemmed |
Percutaneous coronary intervention during on- and off-hours in patients with ST-segment elevation myocardial infarction |
title_sort |
percutaneous coronary intervention during on- and off-hours in patients with st-segment elevation myocardial infarction |
publisher |
Elsevier |
series |
Hellenic Journal of Cardiology |
issn |
1109-9666 |
publishDate |
2021-05-01 |
description |
Objective: There are conflicting data on the clinical outcomes of percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) based on the time of admission to the catheterization laboratory. Thus, we aimed to assess clinical outcomes in an unselected cohort of consecutive patients with STEMI treated with PCI during on-and-off hours of work. Methods: A total of 99,783 patients were included in the analysis. Patients were divided using the most frequently used definition: On-hours (Monday-Friday 07:00 AM-04:59 PM); off-hours (Monday-Friday 05:00 PM-06:59 AM, Saturday, Sunday, and nonworking holidays) (37,469 matched pairs).To avoid potential preselection bias, a propensity score was calculated to compare on-and-off hour groups. Results: Higher radiation doses were observed for PCIs performed during off-hours (1055.2(±1006.5) vs. 1081.6(±1003.25)[mGy] and p = 0.001). A similar prevalence of periprocedural complications was observed during on- and off-hours. However, there was a higher mortality rate during off-hours than during regular working hours (1.17% (439) vs. 1.49% (559) and p = 0.001). Conclusions: Primary PCIs in STEMI performed during off-hours might be associated with a higher rate of periprocedural mortality and higher radiation doses than procedures conducted during regular working hours. |
topic |
Registry Real-world Myocardial infarction Regular hours Mortality |
url |
http://www.sciencedirect.com/science/article/pii/S1109966621000117 |
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