Use of Emergency Medical Services in the Second Gulf Registry of Acute Coronary Events
| Autor: | Kadhim Sulaiman, Khalid F. AlHabib, Alawi A. Alsheikh-Ali, Ahmed Al-Motarreb, Jassim Al Suwaidi, Wael Almahmeed, Shukri Al Saif, Tarek Kashour, Ahmad Hersi, Haitham Amin, Nidal Asaad, Hussam AlFaleh, Lukman Thalib |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Emergency Medical Services Acute coronary syndrome Myocardial Infarction Coronary artery disease Electrocardiography Risk Factors Hospital discharge Emergency medical services Humans Medicine In patient Hospital Mortality Prospective Studies Registries Myocardial infarction Acute Coronary Syndrome Aged business.industry Mortality rate Middle Aged medicine.disease Female Medical emergency Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Angiology. 65:703-709 |
| ISSN: | 1940-1574 0003-3197 |
| Popis: | Data are scarce regarding emergency medical service (EMS) usage by patients with acute coronary syndrome (ACS) in the Arabian Gulf region. This 9-month in-hospital prospective ACS registry was conducted in Arabian Gulf countries, with 30-day and 1-year follow-up mortality rates. Of 5184 patients with ACS, 1293 (25%) arrived at the hospital by EMS. The EMS group (vs non-EMS) was more likely to be male, have cardiac arrest on presentation, be current or exsmokers, and have moderate or severe left ventricular dysfunction and ST-segment elevation myocardial infarction (STEMI). The EMS group had higher crude mortality rates during hospitalization and after hospital discharge but not after adjustment for clinical factors and treatments. The EMSs are underused in the Arabian Gulf region. Short- and long-term mortality rates in patients with ACS are similar between those who used and did not use EMS. Quality improvement in the EMS infrastructure and establishment of integrated STEMI networks are urgently needed. |
| Databáze: | OpenAIRE |
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