ArticleAnnals of Saudi medicine
Dependence of clinical outcomes on time of hospital admission in patients with ST-segment elevation myocardial infarction.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- The effect of emergency department delay time on all-cause mortality of ST-segment elevation myocardial infarction patients who underwent primary percutaneous coronary intervention: does every minute affect mortality?Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025Article
- Association of Iron Therapy with Mortality in Patients with Acute Myocardial Infarction and Iron Deficiency.Cardiovascular toxicology · 2024Article
- Association of systemic inflammatory response index with ST segment elevation myocardial infarction and degree of coronary stenosis: a cross-sectional study.BMC cardiovascular disorders · 2024Article
- Sex-specific impact of mild obesity on the prognosis of ST-segment elevation myocardial infarction.Scientific reports · 2024Article
- Acute Coronary Syndrome: Treatment Strategies and Outcomes in Patients Admitted to a Tertiary Care Hospital in Palestine.Patient preference and adherence · 2024Article
- Prognostic value of angiographic microvascular resistance in patients with ST-segment elevation myocardial infarction.Clinics (Sao Paulo, Brazil) · 2024Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are conflicting results in studies investigating the effects of percutaneous coronary intervention (PCI) on the prognosis of patients with ST-segment elevation myocardial infarction (STEMI) during or outside of usual hospital working hours. While some researchers have reported higher mortality rates in STEMI patients admitted outside of working hours, others did not find a statistically significant difference.
objectivesInvestigate the short-term endpoints and long-term outcomes of STEMI patients by time of admission.
designRetrospective
settingTertiary percutaneous coronary intervention center. PATIENTS AND
methodsPatients were grouped by admission, which consisted of four intervals: 06:00 to <12:00, 12:00 to <18:00, 18:00 to <24:00, and 24:00 to <06:00. We analyzed demographic, clinical and mortality by admission time interval and mortality by multivariate analyses, including the time intervals.
main outcome measuresClinical data and mortality SAMPLE SIZE: 735 patients; median (IQR) age 62 (22) years; 215 (29.3%) women.
resultsPatients admitted at night were 1.37 times more likely to experience pulmonary edema than patients whose symptoms started in the daytime (
conclusionsWhile patients admitted at night presented with pulmonary edema and cardiogenic shock more frequently, no reflow was observed during the day after the procedure. Although patients admitted at night with STEMI presented with worse clinical conditions, similar results were observed between the groups in clinical outcomes. LIMITATIONS: More "real world" results might have been obtained if the study had replicated more typical referral conditions for PCI. CONFLICT OF INTEREST: None.
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