Document Detail

Identifying barriers to prehospital thrombolysis in the treatment of acute myocardial infarction.
MedLine Citation:
PMID:  16858108     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: After an acute myocardial infarction (AMI) prehospital thrombolysis (PHT) reduces mortality compared with inhospital thrombolysis. In practice, a relatively small proportion of the total population with AMI receives PHT. This study was designed to identify the current barriers to PHT. METHODS: A retrospective practice review of 57 consecutive patients treated in or before arrival at a district general hospital emergency department. All patients received thrombolysis for an AMI. RESULTS: The main barriers to delivery of PHT appear to be the inclusion and exclusion criteria laid out in the ambulance service central guidelines. Despite recent widening of the inclusion criteria, 54% of patients eligible for immediate treatment on arrival in hospital either received or were eligible for PHT. CONCLUSION: To increase the number of patients who are eligible for PHT these guidelines need to be revised further in line with inhospital criteria for thrombolysis.
T C Hanson; D Williamson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  23     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-21     Completed Date:  2007-02-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  650-3     Citation Subset:  IM    
Bristol University Medical School, Bristol, UK.
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MeSH Terms
Acute Disease
Aged, 80 and over
Emergency Medical Services / organization & administration*,  standards
Myocardial Infarction / therapy*
Practice Guidelines as Topic
Retrospective Studies
Thrombolytic Therapy*

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