Source:http://linkedlifedata.com/resource/pubmed/id/17826374
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2007-9-10
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pubmed:abstractText |
This study was conducted to evaluate door-to-treatment times before and after the implementation of a rapid triage and transfer system for patients with ST-elevation myocardial infarction transferred from community hospitals to a rural angioplasty center for primary percutaneous coronary intervention (PCI). The system was developed in late 2004 and implemented at a rural percutaneous coronary intervention center in early 2005. Helicopter transport was available for 97% of requests for transfer from community hospitals. All patients with ST-elevation myocardial infarction transferred during 2004 and 2005 (n=226) were evaluated with respect to presentation and treatment times. Time from community hospital presentation to wire crossing decreased during the study from 205 to 105 minutes (p=0.0001). One fourth of patients were treated <90 minutes after presentation, and 2/3 were treated in <120 minutes. In conclusion, the implementation of a rapid triage, transfer, and treatment protocol can achieve a significant shortening of presentation-to-treatment times. Efficient community hospitals working with an efficient angioplasty center can achieve presentation-to-wire crossing times of <90 minutes for some patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
100
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
944-8
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:17826374-Aged,
pubmed-meshheading:17826374-Air Ambulances,
pubmed-meshheading:17826374-Angioplasty, Balloon, Coronary,
pubmed-meshheading:17826374-Clinical Protocols,
pubmed-meshheading:17826374-Efficiency, Organizational,
pubmed-meshheading:17826374-Female,
pubmed-meshheading:17826374-Hospitals, Community,
pubmed-meshheading:17826374-Hospitals, Rural,
pubmed-meshheading:17826374-Humans,
pubmed-meshheading:17826374-Male,
pubmed-meshheading:17826374-Middle Aged,
pubmed-meshheading:17826374-Myocardial Infarction,
pubmed-meshheading:17826374-Patient Transfer,
pubmed-meshheading:17826374-Regional Medical Programs,
pubmed-meshheading:17826374-Rural Health Services,
pubmed-meshheading:17826374-Time and Motion Studies,
pubmed-meshheading:17826374-Triage
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pubmed:year |
2007
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pubmed:articleTitle |
Rapid triage and transport of patients with ST-elevation myocardial infarction for percutaneous coronary intervention in a rural health system.
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pubmed:affiliation |
Department of Cardiology, Geisinger Medical Center, Danville, Pennsylvania, USA. jblankenship@geisinger.edu
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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