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dc.contributor.authorErol, Mustafa Kemal
dc.contributor.authorKayıkçıoğlu, Meral
dc.contributor.authorYavuzgil, Oğuz
dc.contributor.authorKılıçkap, Mustafa
dc.contributor.authorGüler, Arda
dc.contributor.authorÖztürk, Önder
dc.contributor.authorGazi, Emine
dc.date.accessioned2023-05-15T10:03:52Z
dc.date.available2023-05-15T10:03:52Z
dc.date.issued2021en_US
dc.identifier.citationErol, M. K., Kayikçioglu, M., Yavuzgil, O., Kiliçkap, M., Güler, A., Öztürk, O., . . . Özdogan, O. (2021). Time delays in each step from symptom onset to treatment in acute myocardial infarction: Results from a nation-wide TURKMI registry. Anatolian Journal of Cardiology, 25(5), 294-303. doi:10.5152/ANATOLJCARDIOL.2021.39797en_US
dc.identifier.issn2149-2263
dc.identifier.urihttps://hdl.handle.net/20.500.12428/4134
dc.description.abstractObjective: In this study, we aimed to analyze the TURKMI registry to identify the factors associated with delays from symptom onset to treatment that would be the focus of improvement efforts in patients with acute myocardial infarction (AMI) in Turkey. Methods: The TURKMI study is a nation-wide registry that was conducted in 50 centers capable of 24/7 primary percutaneous coronary intervention (PCI). All consecutive patients (n=1930) with AMI admitted to coronary care units within 48 hours of symptom onset were prospectively enrolled during a predefined 2-week period between November 1, 2018, and November 16, 2018. All the patients were examined in detail with regard to the time elapsed at each step from symptom onset to initiation of treatment, including door-to-balloon time (D2B) and total ischemic time (TIT). Results: After excluding patients who suffered an AMI within the hospital (2.6%), the analysis was conducted for 1879 patients. Most of the patients (49.5%) arrived by self-transport, 11.8% by emergency medical service (EMS) ambulance, and 38.6% were transferred from another EMS without PCI capability. The median time delay from symptom-onset to EMS call was 52.5 (15-180) min and from EMS call to EMS arrival 15 (10-20) min. In ST-segment elevation myocardial infarction (STEMI), the median D2B time was 36.5 (25-63) min, and median TIT was 195 (115-330) min. TIT was significantly prolonged from 151 (90-285) min to 250 (165-372) min in patients transferred from non-PCI centers. The major significant factors associated with time delay were patient-related delay and the mode of hospital arrival, both in STEMI and non-STEMI. Conclusion: The baseline evaluation of the TURKMI study revealed that an important proportion of patients presenting with AMI within 48 hours of symptom onset reach the PCI treatment center later than the time proposed in the guidelines, and the use of EMS for admission to hospital is extremely low in Turkey. Patient-related factors and the mode of hospital admission were the major factors associated with the time delay to treatment.en_US
dc.language.isoengen_US
dc.publisherTurkish Society of Cardiologyen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAmbulanceen_US
dc.subjectDoor to balloon timeen_US
dc.subjectMyocardial infarctionen_US
dc.subjectTotal ischemic timeen_US
dc.subjectTreatment delayen_US
dc.titleTime delays in each step from symptom onset to treatment in acute myocardial infarction: Results from a nation-wide TURKMI registryen_US
dc.typearticleen_US
dc.authorid0000-0002-0513-0870en_US
dc.relation.ispartofAnatolian Journal of Cardiologyen_US
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.identifier.volume25en_US
dc.identifier.issue5en_US
dc.identifier.startpage294en_US
dc.identifier.endpage303en_US
dc.institutionauthorGazi, Emine
dc.identifier.doi10.5152/ANATOLJCARDIOL.2021.39797en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.authorwosidFYF-9220-2022en_US
dc.authorscopusid6601995785en_US
dc.identifier.scopus2-s2.0-85105521990en_US
dc.identifier.trdizinid487218en_US
dc.identifier.pmid33960304en_US


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