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Titolo:
Pre-hospital aspirin for suspected myocardial infarction and acute coronary syndromes: A headache for paramedics?
Autore:
Woollard, M; Smith, A; Elwood, P;
Indirizzi:
Univ Wales Coll Med, Welsh Ambulance Serv, NHS Trust, Prehosp Emergency Res Unit, Cardiff, S Glam, Wales Univ Wales Coll Med Cardiff S Glam Wales es Unit, Cardiff, S Glam, Wales Univ Wales Coll Med, Dept Epidemiol Stat & Publ Hlth, Cardiff, S Glam, Wales Univ Wales Coll Med Cardiff S Glam Wales bl Hlth, Cardiff, S Glam, Wales
Titolo Testata:
EMERGENCY MEDICINE JOURNAL
fascicolo: 6, volume: 18, anno: 2001,
pagine: 478 - 481
SICI:
1472-0205(200111)18:6<478:PAFSMI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
UNSTABLE ANGINA; PREVALENCE; TRIAL;
Keywords:
myocardial infarction; aspirin;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Woollard, M Lansdowne Hosp, Prehosp Emergency Res Unit, Sanatorium Rd, Cardiff CF1 8UL, S Glam, Wales Lansdowne Hosp Sanatorium Rd Cardiff S Glam Wales CF1 8UL ales
Citazione:
M. Woollard et al., "Pre-hospital aspirin for suspected myocardial infarction and acute coronary syndromes: A headache for paramedics?", EMERG MED J, 18(6), 2001, pp. 478-481

Abstract

Objective-To ascertain the frequency with which paramedics follow protocols for the administration of aspirin to patients to whom an ambulance is called for chest pain associated with suspected ischaemic heart disease. Methods-Ambulance services in England and Wales who had conducted a recentaspirin administration audit were identified through the National ClinicalEffectiveness Programme for the Ambulance Service Association. Data were requested from each of these services with a 100% return rate. Results-Nine services out of a total of 35 had collected appropriate data. The proportion of patients who were given aspirin by a paramedic varied from 11% to 74%. The range of proportions of patients receiving pre-hospital aspirin increased after adding those patients who had already received aspirin from an alternative health provider, to 19% to 78%. It is estimated that at least 15% to 74% of patients who should have been given aspirin by thevarious ambulance services did not receive it. The proportion of patients for whom aspirin was judged to be inappropriate ranged from 4% to 35%. The reason for these widely varying and generally poor levels of compliance is not known. However, the range of indications and contraindications to the administration of aspirin varied considerably by ambulance service. This also made the comparison of data from different sources difficult. Conclusions-Aspirin has been shown to be beneficial after a myocardial infarction and for other acute coronary syndromes. However, variances in the proportion of patients with suspected ischaemic heart disease given aspirin in different ambulance services indicates the need for a re-emphasis on theimportance of this treatment. A standard protocol for all UK ambulance services should be devised that minimises the number of contraindications to aspirin and otherwise requires its administration to all patients with acutecoronary syndromes or suspected myocardial infarction. Regular, standardised audits of compliance should also be conducted and their results widely disseminated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 13:21:52