Table 7.
Summary of studies examining early repatriation
Authors | Definition of early repatriation | Median time of repatriation | Frequency of early repatriation | STEMI period | Total population | Exclusion | Outcomes |
---|---|---|---|---|---|---|---|
Chan et al.4 | “Immediate” (time not specified) | Not specified | 81.2% (among transfer-centre presentation subcohort) | June 1, 2003–June 30, 2007 | 1479 | Prolonged cardiac arrest without neurologic recovery | In-hospital mortality: PPCI-centre presentation 4.0% vs transfer-centre presentation 3.7% (P = 0.87). Transfer subcohort in-hospital mortality: repatriated 11.5% vs nonrepatriated 1.9% (P < 0.001) |
Ting et al.5 | ≤ 24 h | 21.8 h | Early repatriation 65.2% (total repatriation 83.2) | January 1, 2008–June 2014 | 979 | Death ≤ 72 h | Repatriation index-admission mortality (OR 0.46; P = 0.15) |
Abuzeid et al.6 | Transfer at any point during PPCI hospitalisation | ∼1.5 d | 55% | January 1, 2010–December 31, 2012 | 860 | Shock/death ≤ 24 h after hospitalization | 30-day mortality: repatriated 2.8% vs nonrepatriated 5.1%, (P = 0.08). 1-year mortality: repatriated 6.7% vs nonrepatriated 5.6% (P = 0.545). 30-day MI readmission: repatriated 5.8% vs nonrepatriated 2.0% (P = 0.003). 1-year MI readmission: repatriated 12.1% vs nonrepatriated 5.8% (P = 0.02) |
OR, odds ratio; PPCI, primary percutaneous coronary intervention; STEMI, ST-segment elevation myocardial infarction.