The Journal of invasive cardiology
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Comparative Study
Improved efficiency in acute myocardial infarction care through commitment to emergency department-initiated primary PCI.
Demonstrate improved efficiency of initial and subsequent in-hospital care following emergency department (ED) physician-initiated primary angioplasty (1 PCI). ⋯ Conversion to ED physician-initiated 1 PCI for ST-elevation myocardial infarction significantly improved efficiency of care as measured by MDBT, NSI and LOS. Effectiveness measures, including survival to discharge, discharge medications and 30-day MACE, demonstrated improvement or favorable trends.