Factors for delays in door‐to‐balloon time≤90 min in an electrocardiogram triage system among patients with ST‐segment elevation myocardial infarction: a retrospective study
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Title
Factors for delays in door‐to‐balloon time≤90 min in an electrocardiogram triage system among patients with ST‐segment elevation myocardial infarction: a retrospective study
Subject
Acute Coronary Syndrome, Chest pain, Quality improvement, ST Elevation Myocardial Infarction
Description
Background Door to balloon time is a crucial factor of mortality in patients with ST-segment elevation myocardial
infarction. However, the factors that contribute to failure of achieving door to balloon time≤90 min in an electrocar-
diogram triage system remain unknown.
Methods This single-center retrospective observational study collected data from consecutive patients with ST-seg-
ment elevation myocardial infarction from April 2016 to March 2021. The primary outcome was the failure to achieve
door to balloon time≤90 min. A multivariate logistic regression model was performed to predict factors associated
with failure to achieve door to balloon time≤90 min.
Results In total, 190 eligible patients were included. Of these, the 139 (73.2%) patients with door to balloon
time≤90 min were significantly younger compared to those with door to balloon time>90 min (p=0.02). How-
ever, there was no significant difference in sex and timing of hospital arrival between the door to balloon time≤90
and>90 min groups. Presence of chest pain and ambulance usage were significantly more frequent in patients
with door to balloon time≤90 min (p≤0.01, p=0.02, respectively). Multivariate analysis showed that absence of chest
pain (adjusted odds ratio 4.76; 95% confidence interval, 2.04–11.1; p<0.01) and non-ambulance usage (adjusted
odds ratio 3.53; 95% confidence interval, 1.57–7.94; p<0.01) are predictive factors of failure to achieve door to balloon
time≤90 min.
Conclusion Patients without chest pain as the chief complaint or non-ambulance usage were significantly associ-
ated with the failure to achieve door to balloon time≤90 min.
Keywords Acute Coronary Syndrome, Chest pain, Quality improvement, ST Elevation Myocardial Infarction
infarction. However, the factors that contribute to failure of achieving door to balloon time≤90 min in an electrocar-
diogram triage system remain unknown.
Methods This single-center retrospective observational study collected data from consecutive patients with ST-seg-
ment elevation myocardial infarction from April 2016 to March 2021. The primary outcome was the failure to achieve
door to balloon time≤90 min. A multivariate logistic regression model was performed to predict factors associated
with failure to achieve door to balloon time≤90 min.
Results In total, 190 eligible patients were included. Of these, the 139 (73.2%) patients with door to balloon
time≤90 min were significantly younger compared to those with door to balloon time>90 min (p=0.02). How-
ever, there was no significant difference in sex and timing of hospital arrival between the door to balloon time≤90
and>90 min groups. Presence of chest pain and ambulance usage were significantly more frequent in patients
with door to balloon time≤90 min (p≤0.01, p=0.02, respectively). Multivariate analysis showed that absence of chest
pain (adjusted odds ratio 4.76; 95% confidence interval, 2.04–11.1; p<0.01) and non-ambulance usage (adjusted
odds ratio 3.53; 95% confidence interval, 1.57–7.94; p<0.01) are predictive factors of failure to achieve door to balloon
time≤90 min.
Conclusion Patients without chest pain as the chief complaint or non-ambulance usage were significantly associ-
ated with the failure to achieve door to balloon time≤90 min.
Keywords Acute Coronary Syndrome, Chest pain, Quality improvement, ST Elevation Myocardial Infarction
Creator
Inoue Atsuhito1*, Mizobe Michiko1
, Takahashi Jin1 and Funakoshi Hiraku1
, Takahashi Jin1 and Funakoshi Hiraku1
Source
https://doi.org/10.1186/s12245-023-00562-5
Date
2023
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Inoue Atsuhito1*, Mizobe Michiko1
, Takahashi Jin1 and Funakoshi Hiraku1, “Factors for delays in door‐to‐balloon time≤90 min in an electrocardiogram triage system among patients with ST‐segment elevation myocardial infarction: a retrospective study,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12230.