Impact of capacity building and tele ECG based decision support on change in thrombolysis rate and inhospital and one year mortality in patients with STEMI, using hub and spoke model; multi-phasic intervention trial

Autor: Prakash Chand Negi, Savio Dsouza, Arvind Kandoria, Rahul Nijhavan, Pryanka Thakur, Meena Thakur, Meenakshi Sharma, Sanjeev Asotra, Neeraj Ganju, Rajive Marwah, Rajesh Sharma
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Indian Heart Journal, Vol 76, Iss 3, Pp 167-171 (2024)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2024.06.005
Popis: Background: We report the impact of capacity building and teleconsultation on change in the thrombolysis rates and one-year mortality in patients with STEMI using a hub and the spoke model of STEMI care. Methods: Twenty secondary care public hospitals were linked with a teaching hospital as a hub centre and the impact of the intervention on change in ischemic time, thrombolysis rates and all-cause in-hospital and one-year mortality was compared. Results: 29 patients with STEMI were treated during pre-intervention from April 2020 to June 2020 and 255 patients during the post-intervention period from July 2020 to Oct 2021 in spoke centres. 245 patients were reported to a hub centre during the study period. The thrombolysis rate was significantly higher in the spoke centres after intervention (65.5%vs. 27.5 % p
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