Off-hour presentation and outcomes in patients with acute myocardial infarction

Article Type: Reviews of effectiveness From: Clinical Governance: An International Journal, Volume 19, Issue 2

Sorita, A., Ahmed, A., Starr, S.R., Thompson, K.M., Reed, D.A., Prokop, L., Shah, N.D., Murad, M.H., Ting, H.H. Off-hour presentation and outcomes in patients with acute myocardial infarction: systematic review and meta-analysis 2014 Vol. 348: f7393

BMJ

This well-conducted review concluded that mortality is higher for patients with acute myocardial infarction presenting off-hours compared with regular hours. The main conclusion reflects the evidence but, as the authors note, the effect size may be overstated and may not be applicable to all healthcare settings.