Although it would be ideal that the time between patient arrival and thrombolytic infusion was no more than 30 minutes (door-to-needle time), in our study, the median door-to-needle time was 44 minutes, which is compatible with a prior study.20 One of the probable delay factors is the time required to transfer patients to the coronary care unit (CCU), where the thrombolytic is administered. There is reduction in the thrombolytic therapy administration time when it is administered in the emergency department. A previous study showed a reduction of 58 minutes when these procedures started in the emergency department rather than exclusively in the CCU.21 By contrast, another study22 found an increase from 3.4% to 12% in the death rate when the therapy was administered in the emergency department. Another factor reported as a reducing factor in door-to-needle time is night shift care. This factor can be considered a time reducer, considering that during the night shift there is a reduction in the number of patients, thus care is provided faster.
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