Document Detail


A randomised trial of home-versus-hospital management for patients with suspected myocardial infarction.
MedLine Citation:
PMID:  76794     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Home and hospital management of patients with suspected myocardial infarction were compared in a randomised trial in which a hospital-based team responded to calls from general practitioners. 500 calls were received, and 349 patients (70%) were suspected of having myocardial infarction. Of these, 24% were excluded from the trial on predetermined medical and social grounds; for the remainder (76%) there was no significant difference in the 6-week mortality between the home group (13%) and the hospital group (11%). For the majority of patients to whom a general practitioner is called because of suspected infarction, hospital admission confers no clear advantage.
Authors:
J D Hill; J R Hampton; J R Mitchell
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Lancet     Volume:  1     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1978 Apr 
Date Detail:
Created Date:  1978-06-17     Completed Date:  1978-06-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  837-41     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Clinical Trials as Topic
Coronary Care Units
England
Evaluation Studies as Topic
Home Care Services*
Hospitalization*
House Calls
Humans
Male
Middle Aged
Mobile Health Units
Myocardial Infarction / mortality,  therapy*
Patient Admission
Random Allocation
Time Factors

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


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