STREAM | CAPTIM | ASSENT-4 PCI | ||||
---|---|---|---|---|---|---|
Prehospital FL (n = 944) | PPCI (n = 948) | Prehospital FL (n = 419) | PPCI (n = 421) | Prehospital FL (n = 163) | PPCI (n = 171) | |
Demographics | ||||||
Age, years | 59.7 ± 12.4a | 59.6 ± 12.5a | 58 (49–69)b | 58 (50–68)b | 60 (51–69)b | |
Age ≥75 years | 134 (14.2 %) | 121(12.8 %) | 42 (10.0 %) | 40 (9.5 %) | n/a | n/a |
Female sex | 194 (20.6 %) | 208 (21.9 %) | 74 (17.5 %) | 78 (18.5 %) | 19.5 % | |
Diabetes | 113/934 (12.1 %) | 123/939 (13.1 %) | 46 (11.1 %) | 57 (13.5 %) | 13.2 % | |
Hypertension | 434/930 (46.7 %) | 414/932 (44.4 %) | 141 (33.9 %) | 146 (34.8 %) | 43.4 % | |
Dyslipidemia | 212 (51.1 %) | 215 (51.4 %) | 35.9 % | |||
Previous PCI | 60/942 (6.4 %) | 83/944 (8.8 %) | 22 (5.3 %) | 18 (4.3 %) | 9.4 % | |
Previous CABG | 2/944 (0.2 %) | 3/946 (0.3 %) | 0 | 5 (1.2 %) | 1.2 % | |
Previous MI | 81/940 (8.6 %) | 98/947 (10.3 %) | 34 (8.2 %) | 28 (6.7 %) | 11.5 % | |
Heart rate | 74.9 ± 18.4 | 75.5 ± 18.1 | 76 (64–84) | 75 (66–88) | n/a | n/a |
Systolic blood pressure, mmHg | 135.0 ± 22.7 | 135.9 ± 14.9 | 125 (110–140) | 128 (111–140) | n/a | n/a |
Anterior MI | 453/942 (48.1 %) | 431/946 (45.6 %) | 166 (40.2 %) | 178 (42.7 %) | 45.8 % | |
Median time delay (IQR), minutes | ||||||
Symptom onset to randomization, minutes | 91 (68–132) | 92 (65–132) | 107 (76–158) | 108 (76–162) | 105 (75–172) | 105 (70–160) |
Symptom onset to start of reperfusion treatment: thrombolysis or balloon inflation | 100 (75–143) | 178 (135–230) | 130 (95–180) | 190 (149–255) | 125 (90–185) | 203 (154–258) |
PCI | 736/915 (80.4 %) | 838/933 (89.9 %) | 295 (70.4 %) | 364 (86.5 %) | n/a | n/a |
Endpoints | ||||||
Primary composite endpointc | 116/939 (12.4 %) | 135/943 (14.3 %) | 34 (8.2 %) | 26 (6.2 %) | 31/161 (19.3 %) | 23/165 (13.9 %) |
Death | 43/939 (4.6 %) | 42/946 (4.4 %) | 16 (3.8 %) | 20 (4.8 %) | 5/163 (3.1 %) | 7/171 (4.1 %) |
Stroke | 15/939 (1.6 %) | 5/946 (0.5 %) | 4 (1.0 %) | 0 | n/a | n/a |
Reinfarction | 23/938 (2.5 %) | 21/944 (2.2 %) | 15 (3.7 %) | 7 (1.7 %) | n/a | n/a |
Severe hemorrhage | 70/939 (7.5 %) | 47/946 (5 %) | 2 (0.5 %) | 8 (2.0 %) | 13/163 (8.0 %) | 11/171 (6.4 %) |