Document Detail


Identifying barriers to prehospital thrombolysis in the treatment of acute myocardial infarction.
MedLine Citation:
PMID:  16858108     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
T C Hanson; D Williamson
Related Documents :
8328188 - Unresolved issues after the available comparative trials of thrombolytic agents in acut...
1555478 - Role of heparin in coronary thrombolysis.
14752128 - Systemic thrombolysis with recombinant tissue plasminogen activator and tirofiban in ac...
2044578 - Role of technetium 99m methoxyisobutylisonitrile single photon emission tomography in t...
22763158 - Quantification of left ventricular myocardial collagen system in children, young adults...
6486028 - Comparison of myocardial catecholamine balance in chronic congestive heart failure and ...
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    
Affiliation:
Bristol University Medical School, Bristol, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Emergency Medical Services / organization & administration*,  standards
Humans
Myocardial Infarction / therapy*
Practice Guidelines as Topic
Retrospective Studies
Thrombolytic Therapy*
Comments/Corrections

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


Previous Document:  Modernising medical careers: educational implications for the emergency department.
Next Document:  Characterisation of patients treated at the Red Cross field hospital in Kashmir during the first thr...