Evidence map›Paper›PMID 41694943›Full record

ArticleCureus2026

The Impact of Transportation Mode on ST-Segment Elevation Myocardial Infarction (STEMI) Reperfusion Time and Survival.

Zeyad K Aljaili, Ahmed A Alsalman, Abdulrahman G Aljabri, Rayyan O Turkestani, Mohammed H Alghanim, Fatima H Al Saeed, Bader K Alossaimi, Dunya Alfaraj

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zeyad K AljailiCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Ahmed A AlsalmanCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Abdulrahman G AljabriCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Rayyan O TurkestaniCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Mohammed H AlghanimEmergency Department, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.
Fatima H Al SaeedEmergency Department, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.
Bader K AlossaimiEmergency Department, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.
Dunya AlfarajEmergency Department, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute coronary syndrome continues to be the leading cause of mortality worldwide, making it crucial to achieve a door-to-balloon (D2B) time under 90 minutes to enhance patient outcomes. This study aims to evaluate how outcomes differ between patients who arrive via emergency medical services (EMS) and those who arrive via self-transport.

methodsThis was a retrospective study conducted at a tertiary hospital in the eastern province of Saudi Arabia. The study included both Saudi and non-Saudi patients who presented to the emergency department (ED) between March 1, 2022, and November 11, 2024, with ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) requiring primary percutaneous coronary intervention (PCI). Patients were divided into two groups based on their mode of transport. Collected data include age, gender, nationality, D2B and door-to-electrocardiogram (ECG) times, smoking status, chronic conditions, and peak troponin levels.

resultsA total of 204 STEMI and NSTEMI infarction cases were included in this study. Most cases (172, 84.3%) arrived via self-transport, while 32 (15.7%) arrived via EMS. The EMS group demonstrated significantly shorter median times for both door-to-ECG time (3 minutes vs. 5.5 minutes; p<0.05) and D2B time (70 minutes vs. 87 minutes; p<0.05) compared to the self-transport group. In addition, the EMS group had a higher incidence of cardiopulmonary resuscitation (CPR), indicating that their initial presentation is likely to be critical.

conclusionOur findings are consistent with existing literature, highlighting the role of EMS in reducing door-to-ECG and D2B times. The higher frequency of CPR in EMS-transported patients indicates the severity of their condition upon arrival, further emphasizing the importance of prehospital emergency care in optimizing outcomes.

Indexed as

door-to-balloon (d2b) timedoor-to-ecg timeemergency medical services (ems)primary percutaneous coronary intervention (pci)st-segment elevation myocardial infarction

Identifiers

PMID41694943
PMCPMC12906316

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.