Publicação
Stent for Life in Portugal : this initiative is here to stay
| Resumo: | Aims: Portugal has one of the lowest rates of primary percutaneous coronary intervention (p-PCI) in Western Europe. This study assessed the progress of Portuguese p-PCI performance indicators one year after Portugal joined the Stent for Life (SFL) initiative. Methods and Results: Two national surveys were carried out, each covering a period of one month: the first when Portugal joined the SFL in 2011 (Moment Zero), and the second one year later (Moment One). A total of 397 consecutive patients with probable ST-segment elevation myocardial infarction were enrolled (201 at Moment Zero and 196 at Moment One) from 15 centers. During this period, the number of patients who arrived at a local hospital without p-PCI decreased (62---47%; p=0.004) and transportation to a p-PCI hospital by the National Institute for Medical Emergencies (INEM) increased significantly (13---37%; p<0.001). Shorter times to revascularization were observed, due to shorter patient delay (118---102 min; p=0.008). Door-to-balloon delay and system delay remained unchanged. Conclusions: Improvements in performance indicators for p-PCI demonstrate the success of the first year of the local SFL plan, which was mainly focused on raising public awareness of the need to use the INEM emergency services, which has reduced patient delay, and on improving secondary transportation. |
|---|---|
| Autores principais: | Pereira, Hélder |
| Outros Autores: | Pinto, Fausto J.; Calé, Rita; Pereira, Ernesto; Marques, Jorge; Almeida, Manuel; Mello, Sofia de; Martins, Luís Dias |
| Assunto: | Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| Ano: | 2014 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1865920853185658880 |
|---|---|
| author | Pereira, Hélder |
| author2 | Pinto, Fausto J. Calé, Rita Pereira, Ernesto Marques, Jorge Almeida, Manuel Mello, Sofia de Martins, Luís Dias |
| author2_role | author author author author author author author |
| author_facet | Pereira, Hélder Pereira, Hélder Pinto, Fausto J. Calé, Rita Pereira, Ernesto Marques, Jorge Almeida, Manuel Mello, Sofia de Martins, Luís Dias Pinto, Fausto J. Calé, Rita Pereira, Ernesto Marques, Jorge Almeida, Manuel Mello, Sofia de Martins, Luís Dias |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_str | [{\"Person.name\":\"Pereira, Hélder\"},{\"Person.name\":\"Pinto, Fausto J.\",\"Person.identifier.orcid\":\"0000-0002-8034-4529\"},{\"Person.name\":\"Calé, Rita\"},{\"Person.name\":\"Pereira, Ernesto\"},{\"Person.name\":\"Marques, Jorge\"},{\"Person.name\":\"Almeida, Manuel\"},{\"Person.name\":\"Mello, Sofia de\"},{\"Person.name\":\"Martins, Luís Dias\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Pereira, Hélder Pinto, Fausto J. Calé, Rita Pereira, Ernesto Marques, Jorge Almeida, Manuel Mello, Sofia de Martins, Luís Dias |
| datacite.date.Accepted.fl_str_mv | 2014-06-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2018-08-21T13:39:02Z |
| datacite.date.embargoed.fl_str_mv | 2018-08-21T13:39:02Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| datacite.titles.title.fl_str_mv | Stent for Life in Portugal : this initiative is here to stay Stent for Life em Portugal : uma iniciativa para ficar |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Pereira, Hélder Pinto, Fausto J. Calé, Rita Pereira, Ernesto Marques, Jorge Almeida, Manuel Mello, Sofia de Martins, Luís Dias |
| dc.date.Accepted.fl_str_mv | 2014-06-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2018-08-21T13:39:02Z |
| dc.date.embargoed.fl_str_mv | 2018-08-21T13:39:02Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10451/34511 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier España |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| dc.title.fl_str_mv | Stent for Life in Portugal : this initiative is here to stay Stent for Life em Portugal : uma iniciativa para ficar |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Aims: Portugal has one of the lowest rates of primary percutaneous coronary intervention (p-PCI) in Western Europe. This study assessed the progress of Portuguese p-PCI performance indicators one year after Portugal joined the Stent for Life (SFL) initiative. Methods and Results: Two national surveys were carried out, each covering a period of one month: the first when Portugal joined the SFL in 2011 (Moment Zero), and the second one year later (Moment One). A total of 397 consecutive patients with probable ST-segment elevation myocardial infarction were enrolled (201 at Moment Zero and 196 at Moment One) from 15 centers. During this period, the number of patients who arrived at a local hospital without p-PCI decreased (62---47%; p=0.004) and transportation to a p-PCI hospital by the National Institute for Medical Emergencies (INEM) increased significantly (13---37%; p<0.001). Shorter times to revascularization were observed, due to shorter patient delay (118---102 min; p=0.008). Door-to-balloon delay and system delay remained unchanged. Conclusions: Improvements in performance indicators for p-PCI demonstrate the success of the first year of the local SFL plan, which was mainly focused on raising public awareness of the need to use the INEM emergency services, which has reduced patient delay, and on improving secondary transportation. |
| dirty | 0 |
| eu_rights_str_mv | restrictedAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/142fe1ed-8a09-4505-863d-f4578845548a/download |
| id | ul_fb231d10e6bae75c2a4e446743f980fe |
| identifier.url.fl_str_mv | http://hdl.handle.net/10451/34511 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10451/34511 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Pereira, Hélder Pinto, Fausto J. Pinto, Fausto J. https://www.ciencia-id.pt/C311-AEDD-6DBB C311-AEDD-6DBB http://orcid.org/0000-0002-8034-4529 0000-0002-8034-4529 Calé, Rita Pereira, Ernesto Marques, Jorge Almeida, Manuel Mello, Sofia de Martins, Luís Dias |
| publishDate | 2014 |
| publisher.none.fl_str_mv | Elsevier España |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engElsevier Españapt_PTAims: Portugal has one of the lowest rates of primary percutaneous coronary intervention (p-PCI) in Western Europe. This study assessed the progress of Portuguese p-PCI performance indicators one year after Portugal joined the Stent for Life (SFL) initiative. Methods and Results: Two national surveys were carried out, each covering a period of one month: the first when Portugal joined the SFL in 2011 (Moment Zero), and the second one year later (Moment One). A total of 397 consecutive patients with probable ST-segment elevation myocardial infarction were enrolled (201 at Moment Zero and 196 at Moment One) from 15 centers. During this period, the number of patients who arrived at a local hospital without p-PCI decreased (62---47%; p=0.004) and transportation to a p-PCI hospital by the National Institute for Medical Emergencies (INEM) increased significantly (13---37%; p<0.001). Shorter times to revascularization were observed, due to shorter patient delay (118---102 min; p=0.008). Door-to-balloon delay and system delay remained unchanged. Conclusions: Improvements in performance indicators for p-PCI demonstrate the success of the first year of the local SFL plan, which was mainly focused on raising public awareness of the need to use the INEM emergency services, which has reduced patient delay, and on improving secondary transportation.application/pdfpt_PTStent for Life in Portugal : this initiative is here to stayAlternativeTitlept_PTStent for Life em Portugal : uma iniciativa para ficarPereira, HélderPersonalPinto, Fausto J.DSpacehttp://dspace.org/items/5f44176f-69f5-482c-83cd-ab94425a6ec3DSpacehttp://dspace.org/items/5f44176f-69f5-482c-83cd-ab94425a6ec3PintoFausto J.Ciência IDhttps://www.ciencia-id.ptC311-AEDD-6DBBORCIDhttp://orcid.org0000-0002-8034-4529Researcher IDhttps://www.researcherid.comG-9363-2015Researcher IDhttps://www.researcherid.comGQA-4584-2022Scopus Author IDhttps://www.scopus.com7102740158Calé, RitaPereira, ErnestoMarques, JorgeAlmeida, ManuelMello, Sofia deMartins, Luís DiasHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf0870-2551DOIIsPartOf10.1016/j.repc.2014.02.0132018-08-21T13:39:02Z2014-062014-06-01T00:00:00ZHandlehttp://hdl.handle.net/10451/34511http://purl.org/coar/access_right/c_16ecrestricted accessAcute myocardial infarctionPrimary percutaneous coronary interventionStent545118 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/142fe1ed-8a09-4505-863d-f4578845548a/downloadRevista Portuguesa de Cardiología336363370 |
| spellingShingle | Stent for Life in Portugal : this initiative is here to stay Stent for Life in Portugal : this initiative is here to stay Pereira, Hélder Acute myocardial infarction Primary percutaneous coronary intervention Stent Pereira, Hélder Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| status | SINGLETON |
| subject.fl_str_mv | Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| title | Stent for Life in Portugal : this initiative is here to stay |
| title_full | Stent for Life in Portugal : this initiative is here to stay |
| title_fullStr | Stent for Life in Portugal : this initiative is here to stay Stent for Life in Portugal : this initiative is here to stay |
| title_full_unstemmed | Stent for Life in Portugal : this initiative is here to stay Stent for Life in Portugal : this initiative is here to stay |
| title_short | Stent for Life in Portugal : this initiative is here to stay |
| title_sort | Stent for Life in Portugal : this initiative is here to stay |
| topic | Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| topic_facet | Acute myocardial infarction Primary percutaneous coronary intervention Stent |
| url | http://hdl.handle.net/10451/34511 |
| visible | 1 |