Source:http://linkedlifedata.com/resource/pubmed/id/12898480
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
2003-8-4
|
| pubmed:abstractText |
Sixteen hospitals in Sweden, including those in urban and more sparsely populated areas, and the associated ambulance organizations were enrolled in a prospective evaluation of the feasibility of treating patients with a ST-elevation infarction with a thrombolytic agent (reteplase) before hospital admission. A physician staffed the ambulances in 1% of cases, a nurse in 67%, and a staff nurse in 32% of cases. In all, 64 patients in urban areas and 90 patients in rural areas were included. The occurrence of complications before hospital admission was low and similar in the 2 groups. The median interval between the onset of symptoms and the start of thrombolysis was 1 hour 44 minutes in urban areas versus 2 hours 14 minutes in rural areas (P = 0.03). The median arrival time (interval between onset of symptoms and arrival of the ambulance) tended to be shorter in urban areas (1 hr 10 min vs 1 hr 33 min; not significant) and the median interval between the arrival of the ambulance and the start of thrombolysis was shorter in urban areas (27 min vs 36 min; P < 0.0001). When comparing urban areas with the least-populated rural areas, differences in various delay times became even more marked. Patients in urban areas had a higher ejection fraction and fewer symptoms of heart failure after 30 days and a lower 1-year mortality.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0735-6757
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
21
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
263-70
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| pubmed:dateRevised |
2006-11-15
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| pubmed:meshHeading |
pubmed-meshheading:12898480-Aged,
pubmed-meshheading:12898480-Electrocardiography,
pubmed-meshheading:12898480-Emergency Medical Services,
pubmed-meshheading:12898480-Female,
pubmed-meshheading:12898480-Fibrinolytic Agents,
pubmed-meshheading:12898480-Follow-Up Studies,
pubmed-meshheading:12898480-Humans,
pubmed-meshheading:12898480-Male,
pubmed-meshheading:12898480-Myocardial Infarction,
pubmed-meshheading:12898480-Prospective Studies,
pubmed-meshheading:12898480-Recombinant Proteins,
pubmed-meshheading:12898480-Rural Health,
pubmed-meshheading:12898480-Safety,
pubmed-meshheading:12898480-Sweden,
pubmed-meshheading:12898480-Thrombolytic Therapy,
pubmed-meshheading:12898480-Time Factors,
pubmed-meshheading:12898480-Tissue Plasminogen Activator,
pubmed-meshheading:12898480-Treatment Outcome,
pubmed-meshheading:12898480-Urban Health
|
| pubmed:year |
2003
|
| pubmed:articleTitle |
Safety and delay time in prehospital thrombolysis of acute myocardial infarction in urban and rural areas in Sweden.
|
| pubmed:affiliation |
Division of Cardiology, South Hospital, SE-118 83 Stockholm, Sweden. leif.svensson@medklin.sos.sll.se
|
| pubmed:publicationType |
Journal Article,
Comparative Study
|