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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