| Telemedicine for post-myocardial infarction patients: an observational study. | |
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MedLine Citation:
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PMID: 19199844 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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"SHL" Telemedicine (established 1987 in Israel) provides professional care to subscribers who use cardiobeepers and contact its medical call center via telecommunication networks. The extended 6-month Acute Coronary Syndrome Israel Survey (ACSIS) 2004 involved all 26 intensive cardiac care units in Israeli hospitals. We compared the 1-year survival rates of the "SHL" Telemedicine subscribers and ACSIS participants who survived hospitalization after sustaining an acute myocardial infarction. The myocardial infarction data for the ACSIS cohort (3,899 patients) and the SHL Telemedicine cohort (699 subscribers) were provided for this study by the ACSIS executive and SHL's files, respectively. One-year mortality was ascertained by telephone contacts with patients or their relatives. Mortality at 1 year was 4.4% for the "SHL" patients and 9.7% for the ACSIS patients (p < 0.0001). The "SHL" cohort was significantly older (p < 0.0001) than the ACSIS cohort (mean age [+/-SD] 69 +/- 11 versus 63 +/- 13 years), had significantly more past myocardial infarctions (p < 0.001), more past strokes (p < 0.0032), more heart failure (p < 0.0001), more hypertension (p = 0.002), and more hyperlipidemia (p < 0.0001). Gender distribution and diabetes status were similar for both groups. In spite of having more risk factors than the ACSIS subjects, the "SHL" Telemedicine subscribers had significantly higher survival rates at 1 year compared to the ACSIS patients, whose outcome is consistent with that of the Western world. Availability of medical call centers in the out-of-hospital setting for patients with suspected cardiac symptoms improves their motivation to seek timely and appropriate medical assistance. |
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Authors:
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Arie Roth; Nomi Malov; David M Steinberg; Yigal Yanay; Mayera Elizur; Mira Tamari; Michal Golovner |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Telemedicine journal and e-health : the official journal of the American Telemedicine Association Volume: 15 ISSN: 1556-3669 ISO Abbreviation: Telemed J E Health Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-02-09 Completed Date: 2009-08-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100959949 Medline TA: Telemed J E Health Country: United States |
Other Details:
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Languages: eng Pagination: 24-30 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. arier@tasmc.health.gov.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Coronary Syndrome
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diagnosis,
therapy Aged Aged, 80 and over Cohort Studies Female Hospitalization Humans Israel Male Middle Aged Monitoring, Physiologic Myocardial Infarction* / diagnosis, mortality, therapy Retrospective Studies Risk Factors Survival Rate Telemedicine / methods*, organization & administration Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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