ArticleJournal of the Society for Cardiovascular Angiography & Interventions2024
Reducing Door-to-Balloon Time Using EMS-Initiated App-Based Communication.
Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis 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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Smartphone Apps on Reperfusion Times and Clinical Outcomes in Acute ST-Segment Elevation Myocardial Infarction: Systematic Review and Meta-Analysis.JMIR mHealth and uHealth · 2025Pooled it
- Impact of a Novel Radiation Protection System on Door-to-Balloon Time During STEMI Intervention.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Article
- Association of Simulation-Based Team Training Implementation with Treatment Process Optimization and Clinical Outcomes in a Chest Pain Center: A Retrospective Pre-Post Analysis of Real-World Data.Journal of multidisciplinary healthcare · 2026Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Reducing door-to-balloon (D2B) time for ST-segment elevation myocardial infarction (STEMI) has been shown to improve outcomes. Delays still occur due to various factors such as time to laboratory activation and diagnostic clarification in equivocal cases. We propose that early communication through a mobile application (app) between emergency medical services (EMS) and in-hospital providers can reduce EMS-to-balloon time and provide coordinated care to impact D2B time. Methods: The General Devices e-Bridge mobile app, which allows real-time communication and data transmission between EMS providers and the cardiac catheterization laboratory and emergency department staff, was implemented on May 14, 2019. A single-center, retrospective observational study was conducted on 795 STEMI activations undergoing emergent coronary angiography between January 2017 and July 2020. After exclusions, EMS transmissions of 428 cases were analyzed, of which 132 used the app. Results: Implementation of e-Bridge significantly reduced D2B time by 7.2 minutes ( Conclusions: Implementation of app-based communication between EMS and in-hospital providers resulted in statistically significant reductions in D2B time at our institution. This approach holds promise in improving the timely management of STEMI patients, particularly during the night shift.
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Registered trials
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