PT - JOURNAL ARTICLE AU - Chee Yoong Foo AU - Kwadwo Osei Bonsu AU - Brahmajee K Nallamothu AU - Christopher M Reid AU - Teerapon Dhippayom AU - Daniel D Reidpath AU - Nathorn Chaiyakunapruk TI - Coronary intervention door-to-balloon time and outcomes in ST-elevation myocardial infarction: a meta-analysis AID - 10.1136/heartjnl-2017-312517 DP - 2018 Aug 01 TA - Heart PG - 1362--1369 VI - 104 IP - 16 4099 - http://heart.bmj.com/content/104/16/1362.short 4100 - http://heart.bmj.com/content/104/16/1362.full SO - Heart2018 Aug 01; 104 AB - Objective This study aims to determine the relationship between door-to-balloon delay in primary percutaneous coronary intervention and ST-elevation myocardial infarction (MI) outcomes and examine for potential effect modifiers.Methods We conducted a systematic review and meta-analysis of prospective observational studies that have investigated the relationship of door-to-balloon delay and clinical outcomes. The main outcomes include mortality and heart failure.Results 32 studies involving 299 320 patients contained adequate data for quantitative reporting. Patients with ST-elevation MI who experienced longer (>90 min) door-to-balloon delay had a higher risk of short-term mortality (pooled OR 1.52, 95% CI 1.40 to 1.65) and medium-term to long-term mortality (pooled OR 1.53, 95% CI 1.13 to 2.06). A non-linear time–risk relation was observed (P=0.004 for non-linearity). The association between longer door-to-balloon delay and short-term mortality differed between those presented early and late after symptom onset (Cochran’s Q 3.88, P value 0.049) with a stronger relationship among those with shorter prehospital delays.Conclusion Longer door-to-balloon delay in primary percutaneous coronary intervention for ST-elevation MI is related to higher risk of adverse outcomes. Prehospital delays modified this effect. The non-linearity of the time–risk relation might explain the lack of population effect despite an improved door-to-balloon time in the USA.Clinical trial registration PROSPERO (CRD42015026069).