| Early invasive revascularisation for patients critically ill after acute myocardial infarction: impact on outcome and ICU resource utilisation. | |
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MedLine Citation:
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PMID: 16563115 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the value of early invasive revascularization for the initial management of critically ill patients after acute myocardial infarction in the daily practice of a University-affiliated referral hospital and to gauge the impact of such a strategy on the intensive care unit. PATIENTS AND METHODS: A prospective observational study on all patients admitted to the Royal North Shore hospital who had acute pulmonary oedema and/or shock prior to acute angiography for acute myocardial infarction from January 1(st), 1998 to December 31, 2001. RESULTS: During the study period 846 patients with acute myocardial infarction had coronary artery angiography, 139 had acute pulmonary oedema and/or shock prior to angiography. The average age was 70 years, 65% of whom were male. Approximately 70% of these patients were admitted to the intensive care unit and coronary artery bypass surgery was performed on 38%. Of those patients admitted to the intensive care unit, 95% required mechanical ventilation, 81% required inotropic support and 50% required intra-aortic Balloon counterpulsation. In-hospital mortality was 32%, 6 weeks mortality was 38% and 6 month mortality was 42%. CONCLUSIONS: Our results confirm the benefit of early invasive revascularisation for critically ill patients after acute myocardial infarction although a substantial amount of intensive care unit resources and cardiothoracic surgical expertise were required. |
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Authors:
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A P Delaney; R P Lee; S Kay; P Hansen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine Volume: 5 ISSN: 1441-2772 ISO Abbreviation: Crit Care Resusc Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2006-03-27 Completed Date: 2006-04-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888170 Medline TA: Crit Care Resusc Country: Australia |
Other Details:
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Languages: eng Pagination: 258-65 Citation Subset: - |
Affiliation:
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Intensive Care Unit, Royal North Shore Hospital, Sydney, New South Wales. |
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Comment In:
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Crit Care Resusc. 2003 Dec;5(4):250-2
[PMID:
16563113
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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