Research Article

Using a Cloud Computing System to Reduce Door-to-Balloon Time in Acute ST-Elevation Myocardial Infarction Patients Transferred for Percutaneous Coronary Intervention

Table 2

Time interval difference between traditional referral and transfer with protocol.

VariablesTransferred through protocol group
( = 262)
Traditional referral process group
( = 107)
value

Door-to-ECG time (mins)2 (1, 4)2 (0, 4)0.618
 Killip I/II2 (1, 4)2 (0, 4.75)0.921
 Killip III/IV2 (1, 5)1 (0, 2)0.944
Door-to-CathLab time (mins)27 (20, 33)28 (21, 36)0.466
 Killip I/II25 (19, 33)28 (21, 36)0.060
 Killip III/IV31 (25, 36)27 (20, 37)0.438
CathLab-to-balloon time (mins)18 (14, 22)18 (13, 23)0.497
 Killip I/II17 (14, 21.75)16.5 (13, 21)0.729
 Killip III/IV18 (13, 22.25)22 (16, 31)0.041
Door-to-balloon time (mins)45 (37, 55)47 (38, 58)0.388
 Killip I/II43 (36, 54)46 (36.25, 57.75)0.375
 Killip III/IV51.5 (40.75, 61)50 (44, 64)0.672
Pain to door of STEMI receiving center time (mins)163 (116, 264)174 (118, 275)0.309
 Killip I/II154 (115, 240)180.5 (113, 274.75)0.154
 Killip III/IV185 (122.25, 314.25)160 (118, 247)0.777
Pain to ECG time (mins)165 (119, 266)174 (118, 274)0.123
 Killip I/II157.5 (117.5, 239.25)186 (119.5, 286.0)0.043
 Killip III/IV185 (125, 330.5)161 (127, 244)0.777
Pain to balloon (mins)199 (161, 306)214 (165, 327)0.159
 Killip I/II194.5 (159.25, 270)215.5 (160.5, 327.75)0.056
 Killip III/IV229 (172, 381.25)212 (176, 327)0.619
Door-to-balloon time < 60 mins85.1% (223)79.4% (85)0.183
 Killip I/II88.2% (180)81.0% (68)0.104
 Killip III/IV74.1% (43)73.9% (17)0.983
Door-to-balloon time < 90 mins99.2% (260)99.1% (106)0.868
 Killip I/II100% (204)100% (84)1.000
 Killip III/IV96.6% (56)95.7% (22)0.847

Data are expressed as median (25% percentile, 75% percentile) or % (); CathLab: catheterization laboratory; ECG: electrocardiogram.