Off-hour presentation and outcomes in patients with acute myocardial infarction
This meta-analysis suggests that mortality is higher
for patients with acute myocardial infarction who present during
off-hours compared with regular hours. This finding may be
partially attributed to longer door to balloon times during
off-hours for patients with ST elevation myocardial infarction.
Future studies should explore the variation in the quality of care
by time of day, such as number of staff, expertise of staff, and
other structural and process attributes in systems of care during
off-hours.
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