Acute cardiac care & resuscitationCohort study
Direct transfer to primary percutaneous coronary intervention centres following out-of-hospital cardiac arrest: longer term outcomes and influences on survival
- retrospective cohort study
- national myocardial infarction registry within a regional emergency service network
- adjusted FPSMs
- landmark analyses at 30 days and 1 year
Authors' conclusion
In patients with OHCA and ST-elevation, direct transfer to PPCI centres was associated with improved survival up to 3 years. This advantage appears driven predominantly by early in-hospital outcomes, supporting direct triage for rapid reperfusion and optimised post-resuscitation care.
Study context
- Population
- Adults with OHCA, return of spontaneous circulation and ST-elevation on post-arrest ECG, April 2015 to September 2022patients included · transferred directly 359 · transferred indirectly 254
- Participants
- 613 adults
- Exposure
- direct transfer of OHCA patients with ST-elevation compared with indirect transfer via a non-PPCI hospital
- Direct transfern = 359reference
- Indirect transfern = 254
- Outcome
- All-cause mortality (cumulative incidence of death)
- Follow-up
- 3 years
Main finding
As reported in the abstract
Absolute risk difference
13.5%
By group
Observational data: associations, not effects.
Further findings
Call-to-balloon time
Survival to discharge
| Outcome | adjusted HR (95% CI) | |
|---|---|---|
| Mortality · 30 days · higher mortality with indirect transfer · landmark analysis · adjusted | 2.48 (1.08–5.73) | |
| 0.20.5125Adjusted hazard ratio (log scale) |
Mortality · 30 days
- Excess risk attenuating thereafter and stabilising after approximately 6 months
Original publication
Direct transfer to primary percutaneous coronary intervention centres following out-of-hospital cardiac arrest: longer term outcomes and influences on survival. Heart. Published 7 September 2026. doi:10.1136/heartjnl-2026-328408
Summarised from the published abstract; every number is checked against it