Improving Door-to-Balloon Time in STEMI

Myocardial Infarction Clinical Trial

— EHART  

Official title:

Emergency Department Physician Activation of the Catheterization Laboratory and Immediate Transfer to an Immediately Available Catheterization Lab Reduce Door-to-Balloon Time in ST-Elevation Myocardial Infarction

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT00800163
• Other study ID #: St. Francis Heart Center-EHART
• Status: Recruiting
• Phase: N/A
• First received: November 26, 2008
• Last updated: July 22, 2010
• Start date: September 2005
• Est. completion date: September 2012

Study information

• Verified date: November 2008
• Source: St. Francis Hospitals & Health Centers
• Contact: Umesh N Khot, M.D.
• Phone: 317-893-1666
• Email: khot[@]cvresearch.net
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The investigators prospectively determined the impact on median door-to-balloon time of a protocol mandating (1) emergency department physician activation of the catheterization lab and (2) immediate transfer of the patient to an immediately available catheterization lab by an in-house transfer team consisting of an emergency department nurse, a critical care unit nurse, and a chest pain unit nurse.

Description:

Please see Circulation. 2007;116:67-76

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1000
• Est. completion date: September 2012
• Est. primary completion date: September 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Primary Study Inclusion Criteria:

• ST-elevation myocardial infarction patients who undergo percutaneous intervention within 24 hours of ED arrival

Exclusion Criteria:

• Patients who are inpatients

A registry of all patients who undergo emergency cardiac catheterization irrespective of etiology is maintained.

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label

Related Conditions & MeSH terms

• Infarction
• Myocardial Infarction

Intervention

Other:
• ED Activation/Immediate Transfer
ED Physician Activation and Immediate Transfer Protocol - see Circulation. 2007;116:67-76

Locations

Country	Name	City	State
United States	St. Francis Heart Center	Indianapolis	Indiana

Sponsors (1)

Lead Sponsor	Collaborator
St. Francis Hospitals & Health Centers

Country where clinical trial is conducted

United States, 

References & Publications (1)

Khot UN, Johnson ML, Ramsey C, Khot MB, Todd R, Shaikh SR, Berg WJ. Emergency department physician activation of the catheterization laboratory and immediate transfer to an immediately available catheterization laboratory reduce door-to-balloon time in ST — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Door-to-Balloon Time		24 hours	No
Secondary	Infarct Size		48 hours	No
Secondary	In-Hospital Mortality		~ 7 days (during index hospitalization)	No
Secondary	Hospital Length of Stay		~2-7 days (during index hospitalization)	No
Secondary	Hospital Costs		~2-7 days (during Index Hospitalization) and One Year Followup	No