Table 3. In-Hospital Mortality by Process Time Goalsa.
| Process and time goal | In-hospital death, No./total No. (%) | Met vs did not meet time goal, adjusted odds ratio (95% CI) | |
|---|---|---|---|
| Met time goal | Did not meet time goal | ||
| Directly presented to PCI-capable hospital by emergency medical services | |||
| First evaluated by paramedics time to cardiac catheterization laboratory activation time ≤20 min | 518/14 524 (3.6) | 2242/24 448 (9.2) | 0.54 (0.48-0.60) |
| Emergency department wait time ≤15 min | 377/9382 (4.0) | 4206/38 593 (10.9) | 0.50 (0.44-0.57) |
| Hospital arrival time to PCI device deployment time ≤90 min | 868/26 699 (3.3) | 2584/21 289 (12.1) | 0.40 (0.36-0.44) |
| Directly presented to PCI-capable hospital by walk inb | |||
| Hospital arrival time to electrocardiogram time ≤10 min | 509/21 622 (2.4) | 454/7907 (5.7) | 0.52 (0.45-0.60) |
| Hospital arrival time to PCI device deployment time ≤90 min | 367/20 307 (1.8) | 384/8140 (4.7) | 0.47 (0.40-0.55) |
| Presented to PCI-capable hospital via transfer from another hospital | |||
| Arrival at first hospital to departure ≤30 min | 77/2662 (2.9) | 1304/20 292 (6.4) | 0.51 (0.32-0.78) |
| First hospital arrival time to PCI device deployment time ≤120 min | 22/517 (4.3) | 291/2056 (14.2) | 0.44 (0.26-0.71) |
Abbreviation: PCI, percutaneous coronary intervention.
a
Adjusted models were adjusted for age, race and ethnicity, sex, cardiac arrest, cardiogenic shock, and heart failure on presentation. Model area under receiver operating characteristic curves and median of deviance residuals are provided in eTable 5 in Supplement 1.
b
Walk-in patients did not have cardiac arrest prior to arrival.