Document Detail


Alfred Hospital Coronary Care Unit: an acute myocardial infarction quality assurance study.
MedLine Citation:
PMID:  8723215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A six-month prospective study was performed to assess the efficacy of delivering thrombolytic therapy to patients with acute myocardial infarction and admitted to the coronary care unit. Patient characteristics, time from chest pain onset to presentation to emergency department, from presentation to thrombolytic therapy, transfer from emergency department to coronary care unit major interventions and outcome were assessed. One hundred and twenty patients were admitted with acute myocardial infarction, mean age 66 years (26-91), 69% were males. Of these, 50% received thrombolytic therapy. The mean time from chest pain onset to emergency department was 192 +/- 164 minutes, transfer from emergency department to coronary care unit was 195 +/- 150 minutes. The mean time from presentation to emergency department to receiving thrombolytics was 63 +/- 12 minutes. Streptokinase was the choice of thrombolytic in 97%. Thrombolytic therapy was administered in emergency department in 80% of cases. Thirty-eight (63%) patients received thrombolytic therapy within 60 minutes of presentation. Compared to the non-thrombolytic group, the thrombolytic group were younger, 63 vs 69 years, P < 0.01, presented earlier to hospital (192 vs 394 minutes, P < 0.0005), were transferred to coronary care unit sooner (195 vs 472 minutes, P < 0.001), and had more coronary angiograms (29 vs 23, P < 0.02) and PTCA performed 10 vs 3, P < 0.04. There were no significant differences in length of coronary care unit stay, length of hospital stay, patients receiving CABG or death.
Authors:
G Y Szto; J Federman; A Pitt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of quality in clinical practice     Volume:  16     ISSN:  1320-5455     ISO Abbreviation:  J Qual Clin Pract     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-10-04     Completed Date:  1996-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9430670     Medline TA:  J Qual Clin Pract     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  49-60     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Alfred Hospital, Prahran, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Coronary Artery Bypass
Coronary Care Units / standards*
Female
Fibrinolytic Agents / therapeutic use*
Humans
Length of Stay
Male
Middle Aged
Myocardial Infarction / drug therapy*,  mortality
Prospective Studies
Quality Assurance, Health Care / organization & administration*
Time Factors
Victoria / epidemiology
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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