Featured Research

from universities, journals, and other organizations

Most hospitals miss critical window for heart attack transfer patients, study finds

Date:
November 29, 2011
Source:
Yale University
Summary:
Most heart attack patients transferred between hospitals for the emergency artery-opening procedure called angioplasty are not transported as quickly as they should be, researchers report in the first national study of "door-in door-out" time for transfer patients.

Most heart attack patients transferred between hospitals for the emergency artery-opening procedure called angioplasty are not transported as quickly as they should be, Yale School of Medicine researchers report in the first national study of "door-in door-out" time for transfer patients.

Related Articles


Fewer than 10 percent of heart attack patients transferred from their initial hospital to one offering the life-saving procedure are transferred within the recommended 30 minutes, according to the researchers, who published their findings in the Nov. 28 issue of Archives of Internal Medicine.

For ST-segment elevation myocardial infarction (STEMI) patients, quick response is critical because this type of heart attack is caused by a complete blockage of blood supply to the heart. Angioplasty should be performed as quickly as possible, but many smaller hospitals do not have the staff or facilities to perform the procedure around the clock. Experts agree that the hospitals should send those patients on to a hospital that offers the procedure. The guidelines recommend that the time from arrival at the first hospital until the patient leaves should be no more than 30 minutes.

"This represents a large and avoidable increase in risk of death for these patients," said lead author Jeph Herrin, assistant adjunct professor of cardiology at Yale School of Medicine. "Numerous studies have shown that even a few minutes delay in receiving angioplasty increases the risk of death for STEMI patients. Among this group are thousands of patients that are delayed more than an hour from what is recommended."

Herrin and co-authors analyzed nationwide data collected by the Centers for Medicare & Medicaid Services on all heart attack patients with STEMI who were transferred explicitly for angioplasty during 2009. This included patients who were not covered by Medicare, though patients were not included if the hospital did not transfer at least five patients.

In 2009, nearly 14,000 heart attack patients were transferred from smaller hospitals to hospitals that offer angioplasty, but fewer than 10 percent of them were sent onto the second hospital within the recommended time. Nearly one third of the heart attack patients were sent more than 90 minutes after arriving at the emergency room.

"We have made such great strides in reducing the time to treatment for those patients who are admitted to hospitals with angioplasty facilities; our next big challenge is to be sure that we reduce delays for patients who are transferred," said senior author Harlan Krumholz, M.D., the Harold H. Hines Jr. Professor of Medicine (Cardiology) at Yale School of Medicine.

Other authors on the study include Lauren E. Miller, Dima F. Turkmani, Wato Nsa, Elizabeth E. Drye, M.D., Susannah M. Bernheim, M.D., Shari M. Ling, M.D., Michael T. Rapp, M.D., Lein F Han, Dale Bratzler, M.D., Elizabeth H. Bradley, Brahmajee K. Nallamothu, M.D., and Henry H. Ting, M.D.

The Centers for Medicare & Medicaid Services funded the study.


Story Source:

The above story is based on materials provided by Yale University. Note: Materials may be edited for content and length.


Journal Reference:

  1. J. Herrin, L. E. Miller, D. F. Turkmani, W. Nsa, E. E. Drye, S. M. Bernheim, S. M. Ling, M. T. Rapp, L. F. Han, D. W. Bratzler, E. H. Bradley, B. K. Nallamothu, H. H. Ting, H. M. Krumholz. National Performance on Door-In to Door-Out Time Among Patients Transferred for Primary Percutaneous Coronary Intervention. Archives of Internal Medicine, 2011; 171 (21): 1879 DOI: 10.1001/archinternmed.2011.481

Cite This Page:

Yale University. "Most hospitals miss critical window for heart attack transfer patients, study finds." ScienceDaily. ScienceDaily, 29 November 2011. <www.sciencedaily.com/releases/2011/11/111128171215.htm>.
Yale University. (2011, November 29). Most hospitals miss critical window for heart attack transfer patients, study finds. ScienceDaily. Retrieved February 1, 2015 from www.sciencedaily.com/releases/2011/11/111128171215.htm
Yale University. "Most hospitals miss critical window for heart attack transfer patients, study finds." ScienceDaily. www.sciencedaily.com/releases/2011/11/111128171215.htm (accessed February 1, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, February 1, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Hikers Rescued After Fall from Oregon Mountain

Hikers Rescued After Fall from Oregon Mountain

AP (Feb. 1, 2015) Two climbers who were hurt in a fall on Mount Hood are now being treated for their injuries. Rescue officials say they were airlifted off the mountain Saturday afternoon by an Oregon National Guard helicopter. (Feb. 2) Video provided by AP
Powered by NewsLook.com
Smart Glasses Augment Reality to Help Visually Impaired

Smart Glasses Augment Reality to Help Visually Impaired

Reuters - Innovations Video Online (Feb. 1, 2015) New augmented reality smart glasses developed by researchers at Oxford University can help people with visual impairments improve their vision by providing depth-based feedback, allowing users to "see" better. Joel Flynn reports. Video provided by Reuters
Powered by NewsLook.com
Flu Season Hitting Elderly Hard

Flu Season Hitting Elderly Hard

Reuters - US Online Video (Jan. 31, 2015) The CDC says this year&apos;s flu season is hitting people 65 years of age and older especially hard. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
CDC: Get Vaccinated for Measles

CDC: Get Vaccinated for Measles

Reuters - US Online Video (Jan. 30, 2015) The CDC is urging people to get vaccinated for measles amid an outbreak that began at Disneyland and has now infected more than 90 people. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

More Coverage


Patients Requiring Transfer to Another Facility for Percutaneous Coronary Intervention Rarely Meet Recommended Guidelines for Transfer to Treatment Times

Nov. 28, 2011 Among patients requiring transfer to another hospital for percutaneous coronary intervention (PCI; procedures such as balloon angioplasty or stent placement used to open narrowed coronary arteries), ... read more

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins