Inter-Facility Transfer vs. Direct Admission of Patients With ST-Segment Elevation Acute Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
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- Nakatsuma Kenji
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University
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- Shiomi Hiroki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University
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- Morimoto Takeshi
- Department of Clinical Epidemiology, Hyogo College of Medicine
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- Furukawa Yutaka
- Division of Cardiology, Kobe City Medical Center General Hospital
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- Nakagawa Yoshihisa
- Division of Cardiology, Tenri Hospital
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- Ando Kenji
- Division of Cardiology, Kokura Memorial Hospital
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- Kadota Kazushige
- Division of Cardiology, Kurashiki Central Hospital
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- Yamamoto Takashi
- Department of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science
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- Suwa Satoru
- Division of Cardiology, Juntendo University Shizuoka Hospital
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- Horie Minoru
- Department of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science
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- Kimura Takeshi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University
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<p>Background:Inter-facility transfer for primary percutaneous coronary intervention (PCI) from referring facilities to PCI centers causes a significant delay in treatment of ST-segment elevation acute myocardial infarction (STEMI) patients undergoing primary PCI. However, little is known about the clinical outcomes of STEMI patients undergoing inter-facility transfer in Japan.</p><p>Methods and Results:In the CREDO-Kyoto acute myocardial infarction (AMI) registry that enrolled 5,429 consecutive AMI patients in 26 centers in Japan, the current study population consisted of 3,820 STEMI patients who underwent primary PCI within 24 h of symptom onset. We compared long-term clinical outcomes between inter-facility transfer patients and those directly admitted to PCI centers. The primary outcome measure was a composite of all-cause death or heart failure (HF) hospitalization. There were 1,725 (45.2%) inter-facility transfer patients, and 2,095 patients (54.8%) with direct admission to PCI centers. The cumulative 5-year incidence of death/HF hospitalization was significantly higher in the inter-facility transfer patients than in those with direct admission (26.9% vs. 22.2%; log-rank P<0.001). After adjusting for potential confounders, the risk for death/HF hospitalization was significantly higher (adjusted hazard ratio: 1.22, 95% confidence interval: 1.07–1.40, P<0.001) in the inter-facility transfer patients than in those directly admitted.</p><p>Conclusions:Inter-facility transfer was associated with significantly worse long-term clinical outcomes for patients with STEMI undergoing primary PCI. (Circ J 2016; 80: 1764–1772)</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 80 (8), 1764-1772, 2016
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205106229376
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- NII論文ID
- 130005166115
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 027499645
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- PubMed
- 27350014
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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