Autonomous Paramedic Referral for Primary Percutaneous Coronary Intervention: A new Approach in the Management of ST-Elevation Myocardial Infarction Patients.

Not Applicable

Withdrawn

• Conditions: ST-Elevation Myocardial Infarction; Cardiovascular - Coronary heart disease

• Registration Number: ACTRN12614000394640
• Lead Sponsor: Auckland University of Technology (AUT)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-04-10
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Withdrawn
• Sex: All
• Target Recruitment: 143

Inclusion Criteria

a) The retrospective cohort (n = 72) will include: all patients at/or greater than 18 years of age who were transported to Auckland City Hospital Emergency Department via an ambulance paramedic crew over the last two years; who received an Emergency Department diagnosis of STEMI; and who received primary PCI.

b) The prospective cohort (n = 72) will include all patients at/or greater than 18 years of age transported to Auckland City Hospital CCL following autonomous paramedic CCL activation over a prospective 20 month period in-line with protocol criteria. The study will also investigate all patients transported by paramedics to Auckland City Hospital without autonomous paramedic CCL activation, but who went on to receive primary PCI following an Emergency Department diagnosis of STEMI, during the same 20 month period.

Exclusion Criteria

Key patient exclusion criteria is essentially those that do not meet our inclusion criteria for either the historic or prospective cohort.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary outcome 1: Time from patient symptom onset and/or call for<br>ambulance assistance until PCI balloon inflation<br>[The timepoint at which this outcome will be assessed will be at the time of PCI balloon inflation.];Primary outcome 2: Patient outcomes - morbidity and all cause mortality as assessed by data linkage to medical records<br><br>Morbidity factors and mortality include:<br><br>1. Vessel/s receiving PCI<br>2. Infarct location<br>3. Rates of complications post PCI e.g. arrhythmias, bleeding or cardiac arrest<br>4. Rates of failed PCI plus or minus coronary artery bypass surgery<br>5. In-hospital and 30-day incidence of death <br>[The timepoint at which this outcome will be assessed will be 30 days following patient enrolment.];Primary outcome 3: Patient hospital admission time (days).[The timepoint at which this outcome will be assessed will be at discharge from hospital.]