Prehospital risk assessment and direct transfer to a percutaneous coronary intervention centre in suspected acute coronary syndrome
Authors' conclusion
Prehospital risk stratification and direct transfer to a PCI centre, based on the preHEART score, reduces time from first medical contact to final invasive diagnostics and revascularisation, reduces duration of hospital admission and decreases healthcare costs in patients with NSTE-ACS in need for ICA or revascularisation.
Study context
- Population
- Patients with suspected NSTE-ACS
- Participants
- 1,069 patients
- Exposure
- Prehospital preHEART-based risk stratification and direct transfer to a percutaneous coronary intervention (PCI) or non-PCI centre vs standard care
- Interventionaln = 577
- Observationaln = 492reference
- Outcome
- Time from first medical contact until final invasive diagnostics or revascularisation
Methodological detailsmulticentre, Risk stratification and triage performed by emergency medical services (EMS) personnel
- Multicentre
- Risk stratification and triage performed by EMS personnel
Main finding
As reported in the abstract
Time from first medical contact to final invasive diagnostics or revascularisation
P < 0.001
Observational data: associations, not effects.
Secondary outcomes
Length of hospital admission · shorter in interventional cohort
P = 0.007
| Outcome | Interventional | Observational | P value |
|---|---|---|---|
| Healthcare costs (NSTE-ACS needing ICA or revascularisation)Reduced in interventional cohort | €4899 (unspecified 2278–5947) | €5599 (unspecified 2978–9625) | P = 0.02 |
Original publication
Prehospital risk assessment and direct transfer to a percutaneous coronary intervention centre in suspected acute coronary syndrome. Heart. Published 1 December 2023. doi:10.
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