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RecruitingNCT06738498

Impact of Pre-Hospital and Hospital Delays on Myocardial Infarction Outcomes

The Impact of Pre-Hospital and Hospital Delays on Myocardial Infarction Outcomes: A Prospective Study

Sponsor

Al-Nahrain University

Enrollment

200 participants

Start Date

Feb 20, 2025

Study Type

OBSERVATIONAL

Conditions

Myocardial Infarction (MI)

Summary

The goal of this prospective observational study is to investigate the impact of pre-hospital and hospital delays on the outcomes of myocardial infarction (MI) patients admitted to Al-Kadhimiya Teaching Hospital, Baghdad. The main questions it aims to answer are: How do pre-hospital delays (e.g., patient transport and first medical contact) affect clinical outcomes such as mortality, complication rates, and recovery time in MI patients? What is the influence of hospital-related delays (e.g., time to intervention or reperfusion therapy) on the prognosis of MI patients? Participants will: Be monitored for the time elapsed from symptom onset to first medical contact and subsequent time intervals during hospital care. Have their clinical outcomes, including in-hospital mortality, length of stay, and post-intervention complications, recorded and analyzed.

Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Patients who provide informed consent (or a legal representative provides consent if the patient is unable to do so).
  • Patients who undergo reperfusion therapy, such as thrombolysis or percutaneous coronary intervention (PCI).
  • Patients admitted to Al-Kadhimiya Teaching Hospital within 12 hours of symptom onset.

Exclusion Criteria4

  • Patients with non-acute myocardial infarction (e.g., stable angina, prior MI).
  • Patients with severe comorbidities (e.g., advanced cancer, end-stage renal disease) that may complicate outcome assessments or interfere with treatment protocols.
  • Patients who are transferred to another facility before reperfusion therapy is initiated.
  • Pregnant women or breastfeeding women.

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Locations(1)

College of Medicine - Al-Nahrain University

Baghdad, Iraq

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NCT06738498

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