De Luca Giuseppe, Ernst Nicolette, Suryapranata Harry, Ottervanger Jan Paul, Hoorntje Jan C A, Gosselink A T Marcel, Dambrink Jan-Henk, de Boer Menko-Jan, van 't Hof Arnoud W J
Department of Cardiology, ISALA Klinieken, Hospital De Weezenlanden, Zwolle, The Netherlands.
Am J Cardiol. 2005 Jun 1;95(11):1361-3. doi: 10.1016/j.amjcard.2005.01.083.
The aim of the present study was to evaluate the impact of interhospital delay on mortality in 616 patients with ST-segment elevation myocardial infarction transferred for primary angioplasty to our hospital. Longer interhospital delay was associated with impaired perfusion, larger infarct size, and higher 1-year mortality (adjusted RR 1.5, 95% confidence interval 1.07 to 2.12; p = 0.019). These results suggest that in patients with ST-segment elevation myocardial infarction transferred for primary angioplasty, all efforts should be made to reduce time to treatment.
本研究的目的是评估院间延误对616例因直接经皮冠状动脉腔内血管成形术（primary angioplasty）转至我院的ST段抬高型心肌梗死患者死亡率的影响。更长的院间延误与灌注受损、梗死面积增大和1年死亡率升高相关（校正风险比1.5，95%置信区间1.07至2.12；p = 0.019）。这些结果表明，对于因直接经皮冠状动脉腔内血管成形术转院的ST段抬高型心肌梗死患者，应尽一切努力缩短治疗时间。
