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Influence of Organisational-Level Factors on Delayed Door-to-Balloon Time among Patients with ST-Elevation Myocardial Infarction.
Al-Rumhi, Munira A; Al Sabei, Sulaiman D; Al-Noumani, Huda S; Al-Riyami, Adil; Al-Rawajfah, Omar.
Afiliação
  • Al-Rumhi MA; Emergency Department, Sultan Qaboos University Hospital, Muscat, Oman.
  • Al Sabei SD; Department of Nursing, Sultan Qaboos University, Muscat, Oman.
  • Al-Noumani HS; Department of Nursing, Sultan Qaboos University, Muscat, Oman.
  • Al-Riyami A; Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
  • Al-Rawajfah O; Department of Nursing, Al-Bayt University, Al-Mafraq, Jordan.
Sultan Qaboos Univ Med J ; 24(2): 177-185, 2024 May.
Article em En | MEDLINE | ID: mdl-38828238
ABSTRACT

Objectives:

This study aimed to estimate the door-to-balloon (DTB) time and determine the organisational-level factors that influence delayed DTB times among patients with ST-elevation myocardial infarction in Oman.

Methods:

A cross-sectional retrospective study was conducted on all patients who presented to the emergency department at Sultan Qaboos University Hospital and Royal Hospital, Muscat, Oman, and underwent primary percutaneous coronary interventions during 2018-2019.

Results:

The sample included 426 patients and the median DTB time was 142 minutes. The result of the bivariate logistic regression showed that patients who presented to the emergency department with atypical symptoms were 3 times more likely to have a delayed DTB time, when compared to patients who presented with typical symptoms (odds ratio [OR] = 3.003, 95% confidence interval [CI] 1.409-6.400; P = 0.004). In addition, patients who presented during off-hours were 2 times more likely to have a delayed DTB time, when compared to patients who presented during regular working hours (OR = 2.291, 95% CI 1.284-4.087; P = 0.005).

Conclusion:

To meet the DTB time recommendation, it is important to ensure adequate staffing during both regular and irregular working hours. Results from this study can be used as a baseline for future studies and inform strategies for improving the quality of care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviço Hospitalar de Emergência / Tempo para o Tratamento / Infarto do Miocárdio com Supradesnível do Segmento ST Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Sultan Qaboos Univ Med J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Omã

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviço Hospitalar de Emergência / Tempo para o Tratamento / Infarto do Miocárdio com Supradesnível do Segmento ST Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Sultan Qaboos Univ Med J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Omã