Paramedic Initiated Helivac to Tertiary Hospital for Primary Percutaneous Coronary Interventio

Not Applicable

Completed

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

• Registration Number: ACTRN12615000474550
• 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: 2015-05-14
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

a) The retrospective cohort (n = 30) will include: all patients at/or greater than 18 years of age who were transported to Auckland City Hospital (ACH) CCL from Northland Base Hospital (NBH) ED via the Northland Emergency Services Trust (NEST) Helicopter Service for PPCI between the period May 1st 2010 and May 1st 2013 as part of the historic Code STEMI programme.

b) The prospective cohort (n = 30) will include: all patients at/or greater than 18 years of age up to 85 years of age who have been transported to ACH-CCL from Whangarei via the NEST Helicopter Service for PPCI between the period December 23rd 2014 and December 23rd 2017 as part of the paramedic STEMI Bypass programme. The study will also investigate all patients transported by road-based paramedics to the NEST helicopter base over the same time period but who were re-directed to NBH-ED following re-assessment by the Flight Intensive Care Paramedic (ICP).

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 ambulance assistance until balloon inflation time for PPCI.[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[The timepoint at which this outcome will be assessed will be 30 days following patient enrolment.];Primary outcome 3: Patient hospital admission time (days). This outcome will be assessed through patient medical records.[The timepoint at which this outcome will be assessed will be at discharge from hospital.]