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Reich R.,Cardiology Division Catheterization Laboratory | Silveira L.C.J.,Cardiology Division Catheterization Laboratory | Romero P.S.,Cardiology Division Catheterization Laboratory | Dos Santos S.M.,Cardiology Division Catheterization Laboratory | And 2 more authors.
Experimental and Clinical Cardiology | Year: 2014

Objective: To analyze door-to-balloon times for primary angioplasty at a catheterization laboratory and compare those achieved during regular working hours (in-hours) and out of hours. Methods: Cross-sectional study of primary angioplasties performed between March 2012 and March 2014 at a public teaching hospital in Southern Brazil. The study period was defined as such to reflect the implementation of a care protocol that involved the use of a stopwatch to record time to coronary revascularization. Data analysis was based on the logistics of care at the service where the study took place. Results: A total of 112 interventions were included: 48 in-hours and 31 out-of-hours. The overall mean door-to-balloon time was 73 (±26) minutes, with a median door-to-cath lab time of 30 (18-45) minutes. The mean door-to-balloon time for in-hours and out-ofhours intervention was 62 (±23) and 81 (±26) minutes respectively (P<0.001), and the median door-to-cath lab time, 25 (15-35) and 41 (23-57) minutes respectively (P<0.006). Conclusion: In a public teaching hospital setting, despite significantly shorter door-to-balloon times for primary angioplasty during regular working hours, the times achieved out of hours were still within guideline recommendations (≤ 90 minutes). Source

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