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Magnitude and impact of treatment delays on weeknights and weekends in patients undergoing primary angioplasty for acute myocardial infarction (the cadillac trial)
Authors:Sadeghi H Mehrdad  Grines Cindy L  Chandra Harish R  Mehran Roxana  Fahy Martin  Cox David A  Garcia Eulogio  Tcheng James E  Griffin John J  Stuckey Thomas D  Lansky Alexandra J  O'Neill William W  Stone Gregg W
Affiliation:Sharp Chula Vista Medical Center, Chula Vista, California, USA.
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.
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