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Transfer for PCI can be explained to patients, families in real time
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The reasons for transfer for PCI were well explained to more than 95% of patients with STEMI and their families, according to results of a questionnaire administered by the Minneapolis Heart Institute’s Level 1 Regional ST–Segment-Elevation Myocardial Infarction program.
The researchers suggested that transfer for primary PCI is preferable to fibrinolysis if performed in a timely fashion. However, patients must frequently be separated from their support system and community in order for a timely transfer for PCI. Few data exist on how emergent transfer for PCI impacts patient satisfaction outcomes, particularly in those with STEMI.
The current study was an analysis of 152 questionnaire results that were administered to patients and families from the program in Minneapolis, which aims to facilitate emergent transfer for PCI in individuals from 31 rural and community hospitals.
The investigators reported a 65.8% response rate from the questionnaire among individuals. The mean age was 63.9 years, and 29% were women.
The reasons for transfer and process of being transferred were well explained, according to 95% of respondents. Ninety-seven percent felt that transfer was necessary for care.
However, despite these responses, 15% of the cohort reported that they would have rather stayed in their local hospital to receive the intervention.
Among family members who responded, 88% reported that the transfer process was well explained and 94% reported that the family member’s condition was well explained.
Almost all families (99%) felt that the transfer was necessary for the patient to receive specialized care. However, 11% of families reported a preference to have the family member receive treatment at the community center.
“Our results suggest that STEMI patients and families can be informed, even in time-critical situations, about the transfer process for PCI and understand the need for specialized care,” the researchers concluded. However, they added that there was “a significant minority” of patients and families who would have preferred local care, even with the understanding that transfer would yield optimal treatment.
Disclosure: The researchers report no relevant financial disclosures.
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