Door-to-ECG time in patients with chest pain presenting to the ED.
Publication/Presentation Date
1-1-2006
Abstract
OBJECTIVE: To describe time to electrocardiogram (ECG) acquisition, identify factors associated with timely acquisition, and evaluate the influence of time to ECG on adverse clinical outcomes.
METHODS: We measured the door-to-ECG time for emergency department patients enrolled in prospective chest pain registry. Clinical outcomes were defined as occurrence of myocardial infarction or death within 30 days of the visit.
RESULTS: Among patients with acute coronary syndrome (ACS), 34% and 40.9% of patients with non-ST-elevation ACS and ST-elevation myocardial infarction (STEMI), respectively, had an ECG performed within 10 minutes of arrival. A delay in ECG acquisition was only associated with an increase risk of clinical outcomes in patients with STEMI at 30 days (odds ratio, 3.95; 95% confidence interval, 1.06-14.72; P = .04).
CONCLUSION: Approximately one third of patients with ACS received an ECG within 10 minutes. A prolonged door-to-ECG time was associated with an increased risk of clinical outcomes only in patients with STEMI.
Volume
24
Issue
1
First Page
1
Last Page
7
ISSN
0735-6757
Published In/Presented At
Diercks, D. B., Kirk, J. D., Lindsell, C. J., Pollack, C. V., Jr, Hoekstra, J. W., Gibler, W. B., & Hollander, J. E. (2006). Door-to-ECG time in patients with chest pain presenting to the ED. The American journal of emergency medicine, 24(1), 1–7. https://doi.org/10.1016/j.ajem.2005.05.016
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
16338501
Department(s)
Administration and Leadership
Document Type
Article