PRIMARY ANGIOPLASTY TREATMENT DELAYS AFTER THE IMPLEMENTATION OF A PROVINCE-WIDE PREHOSPITAL ECG PROGRAM

Autor: Laurie J. Lambert, Peter Bogaty, Céline Carroll, Dave Ross, C. Beauchamp, Philippe L. L’Allier, Lucy J. Boothroyd, Richard P. Harvey, L. Azzi, Simon Kouz, Sébastien Maire, Normand Racine, Eli Segal, Stéphane Rinfret
Rok vydání: 2015
Předmět:
Zdroj: Canadian Journal of Cardiology. 31:S9
ISSN: 0828-282X
DOI: 10.1016/j.cjca.2015.07.032
Popis: s S9 followed by Erie St. Clair LHIN at 20.4%, while STEMI patients in the Toronto Central LHIN hospitals had the lowest percentage of fibrinolysis therapy at 0.5%. CONCLUSION: The analysis identified variation in the use of fibrinolysis therapy across Ontario hospitals. Specific quality improvement strategies will be deployed to ensure that CCN continues to monitor the use of fibrinolysis therapy across Ontario, recognizing that this remains a key treatment strategy for STEMI patients who may not have immediate access to primary PCI due to geography or other reasons. 016 METHOD OF PRESENTATION TO HEALTHCARE SYSTEM SIGNIFICANTLY AFFECTS TIMES TO TREATMENT OF STEMI PATIENTS: NEW BRUNSWICK EXPERIENCE AS White, A Hassan, V Paddock, S Lutchmedial Saint John, New Brunswick BACKGROUND: Having Emergency Medical Services (EMS) involved in the management of STEMI patients prior to their arrival to the emergency room (ER) has been shown to improve time to treatment goals as compared to patients who are walk-ins to the ER. We report the New Brunswick experience with these two modes of presentation and their effects on time to treatment in STEMI patients. METHODS/RESULTS: All patients with a confirmed diagnosis of STEMI who received thrombolysis and possessed data regarding mode of presentation in the New Brunswick Heart Centre STEMI database between December 31, 2010 and June 29, 2013 were included. A total of 643 patients met the inclusion criteria. Patients presented directly to ER (walk-in) in 51.3% of cases (n1⁄4330), while 48.7% (n1⁄4313) of patients presented via EMS. Table 1 summarizes door to EKG (D2EKG), EKG to needle (EKG2N) and door to needle (D2N) times in minutes for both walk-in ad EMS patients. Shorter D2EKG and D2N times were noted among EMS patients. Furthermore, presentation via EMS as compared to walk-in was associated with significantly higher rates of D2EKG within the guidelines recommended goal of 10 min. (67.1% vs. 44.8%; p value
Databáze: OpenAIRE
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