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Titolo:
Community thrombolysis in the Coromandel region. Audit of the "Cardiac Events in the Coromandel-Assessment Strategy and Triage" (CE-COAST) pilot program
Autore:
Nunn, C; Lennane, J; Marriott, G; Wilson, D;
Indirizzi:
Waikato Hosp, Dept Cardiol, Hamilton, New Zealand Waikato Hosp Hamilton New Zealand , Dept Cardiol, Hamilton, New Zealand Thames Hosp, Dept Med, Thames, New Zealand Thames Hosp Thames New Zealand ames Hosp, Dept Med, Thames, New Zealand Coromandel Med Ctr, Coromandel Township, New Zealand Coromandel Med Ctr Coromandel Township New Zealand ownship, New Zealand Mercury Bay Med Ctr, Whitianga, New Zealand Mercury Bay Med Ctr Whitianga New Zealand d Ctr, Whitianga, New Zealand
Titolo Testata:
NEW ZEALAND MEDICAL JOURNAL
fascicolo: 1131, volume: 114, anno: 2001,
pagine: 197 - 199
SICI:
0028-8446(20010511)114:1131<197:CTITCR>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; TISSUE PLASMINOGEN-ACTIVATOR; LEFT-VENTRICULAR FUNCTION; PREHOSPITAL THROMBOLYSIS; THERAPY; DELAY; SURVIVAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Nunn, C Waikato Hosp, Dept Cardiol, Hamilton, New Zealand Waikato Hosp Hamilton New Zealand ardiol, Hamilton, New Zealand
Citazione:
C. Nunn et al., "Community thrombolysis in the Coromandel region. Audit of the "Cardiac Events in the Coromandel-Assessment Strategy and Triage" (CE-COAST) pilot program", NZ MED J, 114(1131), 2001, pp. 197-199

Abstract

Aim. To audit the experience of a pilot program for community thrombolysisundertaken within the Coromandel region. Methods. Community thrombolysis for patients suffering acute myocardial infarction (MI) was undertaken in areas within the Coromandel peninsula greater than half an hour by road from Thames Hospital. Thrombolytic therapy (Reteplase) was given following discussion and review of a digitally transmitted ECG with the cardiology registrar. Treatment times and patient demographics were prospectively recorded. Subsequent clinical events were obtained by chart review. Comparison of treatment times were made with an historical cohort for the same population which had received in-hospital thrombolysis between 1993 and 1998. Results. Between July 1998 and December 1999, nineteen patients received thrombolysis in the community. There were no arrhythmic events during transportation and no deaths or reinfarctions during hospital stay. Median time from pain onset to thrombolysis was 135 (mean 175.5 +/- 144.9 SD) minutes which equated to a reduction in median time delay of 135 minutes compared to that experienced by the historical cohort (median 270, mean. 316.7 +/- 145.8 SD minutes), p=0.0003. Conclusion. Community thrombolysis is logistically feasible within the NewZealand setting and results in major time reductions in the treatment of patients with acute MI.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 07:08:45