Satisfaction with emergent transfer for percutaneous coronary interventions on patients with st-segment-elevation myocardial infarction and their families

Jason T. Henry, Ellen Christiansen, Ross F. Garberich, Chauncy B. Handran, David M. Larson, Barbara T. Unger, Timothy D. Henry

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background-Transfer for primary percutaneous coronary intervention (PCI) is superior to fibrinolysis if performed in a timely manner but frequently requires dislocation of patients and their families from their local community. Although patient satisfaction is increasingly viewed as an important quality indicator, there are no data on how emergent transfer for PCI affects patients with ST-segment-elevation myocardial infarction and their families. Methods and Results-The Minneapolis Heart Institute's Level 1 Regional ST-Segment-Elevation Myocardial Infarction program is designed to facilitate emergent transfer for PCI in patients with ST-segment-elevation myocardial infarction from 31 rural and community hospitals. To determine the effect of emergent transfer, questionnaires were given to 152 patients and their families who survived to hospital discharge with a 65.8% response rate (mean age, 63.9 years; 29% women). Ninety-five percent of patients felt the reasons and process of transfer were well explained, and 97% felt transfer for care was necessary. Despite this, 15% of patients would have preferred to stay in their local hospital. The majority of the families felt the transfer process (88%) and family member's condition (94%) were well explained. Although 99% felt it was necessary for their family member to be transferred for specialized care, 11% of families still would have preferred that their family members remain at the local community hospital. Conclusions-Our results suggest that ST-segment-elevation myocardial infarction patients and families can be informed, even in time-critical situations, about the transfer process for PCI and understand the need for specialized care. Still, a significant minority would prefer to stay at their local hospital, despite acknowledging transfer for PCI provided optimal care.

Original languageEnglish (US)
Pages (from-to)244-250
Number of pages7
JournalCirculation: Cardiovascular Quality and Outcomes
Volume7
Issue number2
DOIs
StatePublished - Mar 2014

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Percutaneous Coronary Intervention
Myocardial Infarction
Community Hospital
Rural Hospitals
Fibrinolysis
Rural Population
Patient Satisfaction
ST Elevation Myocardial Infarction

Keywords

  • Patient education as topic
  • Quality of health care
  • ST-elevation myocardial infarction
  • Systems of care

Cite this

Satisfaction with emergent transfer for percutaneous coronary interventions on patients with st-segment-elevation myocardial infarction and their families. / Henry, Jason T.; Christiansen, Ellen; Garberich, Ross F.; Handran, Chauncy B.; Larson, David M.; Unger, Barbara T.; Henry, Timothy D.

In: Circulation: Cardiovascular Quality and Outcomes, Vol. 7, No. 2, 03.2014, p. 244-250.

Research output: Contribution to journalArticle

Henry, Jason T. ; Christiansen, Ellen ; Garberich, Ross F. ; Handran, Chauncy B. ; Larson, David M. ; Unger, Barbara T. ; Henry, Timothy D. / Satisfaction with emergent transfer for percutaneous coronary interventions on patients with st-segment-elevation myocardial infarction and their families. In: Circulation: Cardiovascular Quality and Outcomes. 2014 ; Vol. 7, No. 2. pp. 244-250.
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abstract = "Background-Transfer for primary percutaneous coronary intervention (PCI) is superior to fibrinolysis if performed in a timely manner but frequently requires dislocation of patients and their families from their local community. Although patient satisfaction is increasingly viewed as an important quality indicator, there are no data on how emergent transfer for PCI affects patients with ST-segment-elevation myocardial infarction and their families. Methods and Results-The Minneapolis Heart Institute's Level 1 Regional ST-Segment-Elevation Myocardial Infarction program is designed to facilitate emergent transfer for PCI in patients with ST-segment-elevation myocardial infarction from 31 rural and community hospitals. To determine the effect of emergent transfer, questionnaires were given to 152 patients and their families who survived to hospital discharge with a 65.8{\%} response rate (mean age, 63.9 years; 29{\%} women). Ninety-five percent of patients felt the reasons and process of transfer were well explained, and 97{\%} felt transfer for care was necessary. Despite this, 15{\%} of patients would have preferred to stay in their local hospital. The majority of the families felt the transfer process (88{\%}) and family member's condition (94{\%}) were well explained. Although 99{\%} felt it was necessary for their family member to be transferred for specialized care, 11{\%} of families still would have preferred that their family members remain at the local community hospital. Conclusions-Our results suggest that ST-segment-elevation myocardial infarction patients and families can be informed, even in time-critical situations, about the transfer process for PCI and understand the need for specialized care. Still, a significant minority would prefer to stay at their local hospital, despite acknowledging transfer for PCI provided optimal care.",
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AU - Henry, Timothy D.

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AB - Background-Transfer for primary percutaneous coronary intervention (PCI) is superior to fibrinolysis if performed in a timely manner but frequently requires dislocation of patients and their families from their local community. Although patient satisfaction is increasingly viewed as an important quality indicator, there are no data on how emergent transfer for PCI affects patients with ST-segment-elevation myocardial infarction and their families. Methods and Results-The Minneapolis Heart Institute's Level 1 Regional ST-Segment-Elevation Myocardial Infarction program is designed to facilitate emergent transfer for PCI in patients with ST-segment-elevation myocardial infarction from 31 rural and community hospitals. To determine the effect of emergent transfer, questionnaires were given to 152 patients and their families who survived to hospital discharge with a 65.8% response rate (mean age, 63.9 years; 29% women). Ninety-five percent of patients felt the reasons and process of transfer were well explained, and 97% felt transfer for care was necessary. Despite this, 15% of patients would have preferred to stay in their local hospital. The majority of the families felt the transfer process (88%) and family member's condition (94%) were well explained. Although 99% felt it was necessary for their family member to be transferred for specialized care, 11% of families still would have preferred that their family members remain at the local community hospital. Conclusions-Our results suggest that ST-segment-elevation myocardial infarction patients and families can be informed, even in time-critical situations, about the transfer process for PCI and understand the need for specialized care. Still, a significant minority would prefer to stay at their local hospital, despite acknowledging transfer for PCI provided optimal care.

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