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His method of arrival captured his station in life these days.
People are no longer asylum seekers but "illegals", a curious sophistry that defines people by their (in actuality legal) method of arrival.
A univariate analysis was used to compare door-to-balloon times for statistical significance, based on method of arrival.
Method of arrival was by one of three ways: paramedic initiated referral; patient walk-ins to PCI centre emergency department; or transfer after walk-in to community hospital emergency department.
Several studies have shown that this door-to-balloon time is greatly influenced by the method of arrival to the PCI centre, with paramedic initiated referrals often meeting the standards for optimal outcomes [ 3, 15, 19– 24].
Killip class was not included in the analysis of door-to-balloon times by method of arrival because of the over representation of Killip class I and the incomplete data for all participants.
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When methods of arrival on door-to-balloon times meeting or exceeding the 90 minute target were compared, no significant differences were found.
The average door-to-balloon time for these STEMI patients was calculated and the door-to-balloon times using different methods of arrival were analyzed.
These findings contradict other studies that have shown that paramedic referred patients tend to meet the <90 minute door-to-balloon time goal more often relative to other methods of arrival [ 9, 24, 36].
There was no statistically significant difference across the three methods of arrival with respect to meeting the 90-minute target versus exceeding the 90-minute target (χ2 = 2.38, df = 2, p = 0.304).
This was a retrospective review of patients with diagnosed STEMI who presented through one of three methods of arrival; either paramedic initiated referral, walk-in to the PCI centre ED, or transfer by EMS after walk-in to a community hospital ED without a PCI centre across the initial month expansion period from May to August 2010.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com