ArticleClinical research in cardiology : official journal of the German Cardiac Society2010
Time of admission, quality of PCI care, and outcome of patients with ST-elevation myocardial infarction.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association Between Out-of-Hour Admission and Short- and Long-Term Mortality in Acute Myocardial Infarction: A Systematic Review and Meta-Analysis.Frontiers in cardiovascular medicine · 2021Pooled it
- Pooled it
- Off-hour presentation and outcomes in patients with acute myocardial infarction: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2014Pooled it
- TNF-α, myocardial perfusion and function in patients with ST-segment elevation myocardial infarction and primary percutaneous coronary intervention.Clinical research in cardiology : official journal of the German Cardiac Society · 2012Trial
- Six-month clinical outcomes after ST-elevation myocardial infarction in eastern Indonesia: a prospective cohort study.Scientific reports · 2025Observational
- Impact of a 24/7 on-site percutaneous coronary intervention team strategy on door-to-wire time.BMJ open quality · 2025Article
- Door-to-Balloon Time and Clinical Outcome of Patients Presenting with ST-Segment Elevation Myocardial Infarction During on and off Hours: a Single Center Study.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2025Article
- Acute Coronary Syndrome Presenting during On- and Off-Hours: Is There a Difference in a Tertiary Cardiovascular Center?Medicina (Kaunas, Lithuania) · 2023Article
- Association of Admission Time and Mortality in STEMI Patients: A Systematic Review and Meta-analysis.The International journal of angiology : official publication of the International College of Angiology, Inc · 2022Article
- Influence of Admission Time on Health Care Quality and Utilization in Patients with Stroke: Analysis for a Possible July Effect and Weekend Effect.International journal of environmental research and public health · 2021Article
- [Impact of national cardiac, cardiac surgery, and intensive care conferences on cardiovascular mortality in Germany].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2019Article
- Effect of Chinese national holidays and weekends versus weekday admission on clinical outcomes in patients with STEMI undergoing primary PCI.Journal of geriatric cardiology : JGC · 2017Article
- Comparing routine administrative data with registry data for assessing quality of hospital care in patients with myocardial infarction using deterministic record linkage.BMC health services research · 2016Article
- Total ischemic time and outcomes for patients with ST-elevation myocardial infarction: does time of admission make a difference?Journal of geriatric cardiology : JGC · 2016Article
- The Emergency Medical Care of Patients With Acute Myocardial Infarction.Deutsches Arzteblatt international · 2016Article
- Mortality and treatment patterns among patients hospitalized with acute cardiovascular conditions during dates of national cardiology meetings.JAMA internal medicine · 2015Article
- Circadian Dependence of Infarct Size and Acute Heart Failure in ST Elevation Myocardial Infarction.PloS one · 2015Article
- Impact of minimising door-to-balloon times in ST-elevation myocardial infarction to less than 30 min on outcome: an analysis over an 8-year period in a tertiary care centre.Clinical research in cardiology : official journal of the German Cardiac Society · 2011Article
- Direct admission versus transfer of AMI patients for primary PCI.Clinical research in cardiology : official journal of the German Cardiac Society · 2011Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOur study aimed to analyse the hospital mortality of patients admitted in- and off-regular working hours with ST-elevation myocardial infarction (STEMI) within the special logistical setting of the urban area of the city of Berlin.
backgroundThere is a debate whether patients with acute myocardial infarction admitted to hospital outside regular working hours experience higher mortality rates than those admitted within regular working hours.
methodsThis study analyses data from the Berlin Myocardial Infarction Registry and comprises 2,131 patients with STEMI and treated with percutaneous coronary intervention (PCI) in 2004-2007. Data of patients admitted during in- and off-regular working hours were compared.
resultsThere was significant difference in door-to-balloon time (median in-hours: 79 min; median off-hours: 90 min, p < 0.001) and in hospital mortality (in-hours: 4.3%; off-hours: 6.8%, p = 0.020) between STEMI patients admitted in- and off-hours for treatment with PCI. After adjustment, admission off-hours remained an independent predictor for in-hospital death for patients (OR = 2.50; 95% CI 1.38-4.56). In patients with primary care from physician-escorted Emergency Medical Services (EMS), door-to-balloon time was reduced by 10 min for in-hours as well as off-hours patients. The difference in hospital mortality between off-hour and in-hour admission was reduced to a non-significant OR = 1.61 (95% CI 0.79-3.27).
conclusionsIn conclusion, patients admitted off-hours experienced longer door-to-balloon times and higher hospital mortality than did those admitted in-hours. The differences observed between patients admitted in-hours and off-hours were reduced through physician-escorted EMS reflecting the influence of optimized STEMI care.
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