Improving Door-to-Balloon Time in STEMI
EHART
Emergency Department Physician Activation of the Catheterization Laboratory and Immediate Transfer to an Immediately Available Catheterization Lab Reduce Door-to-Balloon Time in ST-Elevation Myocardial Infarction
1 other identifier
interventional
1,000
1 country
1
Brief Summary
The investigators prospectively determined the impact on median door-to-balloon time of a protocol mandating (1) emergency department physician activation of the catheterization lab and (2) immediate transfer of the patient to an immediately available catheterization lab by an in-house transfer team consisting of an emergency department nurse, a critical care unit nurse, and a chest pain unit nurse.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2005
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
November 26, 2008
CompletedFirst Posted
Study publicly available on registry
December 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedJuly 23, 2010
November 1, 2008
7 years
November 26, 2008
July 22, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
Door-to-Balloon Time
24 hours
Secondary Outcomes (4)
Infarct Size
48 hours
In-Hospital Mortality
~ 7 days (during index hospitalization)
Hospital Length of Stay
~2-7 days (during index hospitalization)
Hospital Costs
~2-7 days (during Index Hospitalization) and One Year Followup
Study Arms (1)
ED Physician Activation/Immediate Transfer
EXPERIMENTALInterventions
ED Physician Activation and Immediate Transfer Protocol - see Circulation. 2007;116:67-76
Eligibility Criteria
You may qualify if:
- ST-elevation myocardial infarction patients who undergo percutaneous intervention within 24 hours of ED arrival
You may not qualify if:
- Patients who are inpatients
- A registry of all patients who undergo emergency cardiac catheterization irrespective of etiology is maintained.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
St. Francis Heart Center
Indianapolis, Indiana, 46259, United States
Related Publications (2)
Khot UN, Johnson ML, Ramsey C, Khot MB, Todd R, Shaikh SR, Berg WJ. Emergency department physician activation of the catheterization laboratory and immediate transfer to an immediately available catheterization laboratory reduce door-to-balloon time in ST-elevation myocardial infarction. Circulation. 2007 Jul 3;116(1):67-76. doi: 10.1161/CIRCULATIONAHA.106.677401. Epub 2007 Jun 11.
PMID: 17562960RESULTKhot UN, Johnson-Wood ML, Geddes JB, Ramsey C, Khot MB, Taillon H, Todd R, Shaikh SR, Berg WJ. Financial impact of reducing door-to-balloon time in ST-elevation myocardial infarction: a single hospital experience. BMC Cardiovasc Disord. 2009 Jul 26;9:32. doi: 10.1186/1471-2261-9-32.
PMID: 19631001DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Umesh N Khot, M.D.
Indiana Heart Physicians/St. Francis Heart Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 26, 2008
First Posted
December 1, 2008
Study Start
September 1, 2005
Primary Completion
September 1, 2012
Study Completion
September 1, 2012
Last Updated
July 23, 2010
Record last verified: 2008-11