SPECIAL ARTICLE: Strategies for Reducing the Door-to-Balloon Time in Acute Myocardial

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SPECIAL ARTICLE: Strategies for Reducing the Door-to-Balloon Time in Acute Myocardial

NEJM The New England Journal of Medicine

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SPECIAL ARTICLE: Strategies for Reducing the Door-to-Balloon Time in Acute Myocardial - 29-11-2006, 03:00 PM

Hospitals have a variety of strategies to reduce the time from arrival at the hospital to intracoronary balloon inflation (door-to-balloon time) for patients who have acute myocardial infarction with ST-segment elevation. In a study of 365 hospitals, 28 institutional strategies were identified with the use of a field-tested questionnaire. These strategies were correlated with door-to-balloon times for individual patients as reported to the Centers for Medicare and Medicaid Services. Six strategies were associated with a significant reduction in the door-to-balloon time. The use of these strategies may improve outcomes for patients.

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Angel
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