Magnitude and impact of treatment delays on weeknights and weekends in patients undergoing primary angioplasty for acute myocardial infarction (the cadillac trial)

H Mehrdad Sadeghi; Cindy L Grines; Harish R Chandra; Roxana Mehran; Martin Fahy; David A Cox; Eulogio Garcia; James E Tcheng; John J Griffin; Thomas D Stuckey; Alexandra J Lansky; William W O'Neill; Gregg W Stone

doi:10.1016/j.amjcard.2004.05.030

Magnitude and impact of treatment delays on weeknights and weekends in patients undergoing primary angioplasty for acute myocardial infarction (the cadillac trial)

Am J Cardiol. 2004 Sep 1;94(5):637-40, A9. doi: 10.1016/j.amjcard.2004.05.030.

Authors

H Mehrdad Sadeghi¹, Cindy L Grines, Harish R Chandra, Roxana Mehran, Martin Fahy, David A Cox, Eulogio Garcia, James E Tcheng, John J Griffin, Thomas D Stuckey, Alexandra J Lansky, William W O'Neill, Gregg W Stone

Affiliation

¹ Sharp Chula Vista Medical Center, Chula Vista, California, USA.

PMID: 15342297
DOI: 10.1016/j.amjcard.2004.05.030

Abstract

In 2,082 patients in the CADILLAC trial, the outcomes of patients presenting during peak hours were compared with those presenting during peak hours (Monday to Friday 8a.m. to 8 p.m., n = 1,047, 51%) were compared with those of patients presenting during off-peak hours (weeknights from 8 p.m. to 8 a.m. and weekends, n = 989, 49%). Although treatment times to percutaneous coronary intervention (PCI) were delayed approximately 21 minutes, in patients with acute myocardial infarctions occurring on weeknights and weekends, this modest delay did not adversely affect procedural success, myocardial recovery, or survival after PCI.

Publication types

Comparative Study
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Angioplasty, Balloon, Coronary / methods*
Appointments and Schedules*
Female
Humans
Male
Middle Aged
Myocardial Infarction / therapy*
Personnel Staffing and Scheduling
Time Factors
Treatment Outcome