tailieunhanh - Báo cáo y học: "The appropriateness of single page of activation of the cardiac catheterization laboratory by emergency physician for patients with suspected ST-segment elevation myocardial infarction: a cohort study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: The appropriateness of single page of activation of the cardiac catheterization laboratory by emergency physician for patients with suspected ST-segment elevation myocardial infarction: a cohort study | Kim et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 50 http content 19 1 50 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access The appropriateness of single page of activation of the cardiac catheterization laboratory by emergency physician for patients with suspected ST-segment elevation myocardial infarction a cohort study Soo Hyun Kim Sang Hoon Oh Seung Pill Choi Kyu Nam Park Young Min Kim and Chun Song Youn Abstract Background The early use of reperfusion therapy has a significant effect on the prognosis of patients with ST-segment elevation myocardial infarction STEMI and it is recommended that emergency department ED physicians activate the cardiac catheterization laboratory CCL as soon as possible to treat these patients. The aim of this study was to examine the appropriateness of emergency physician activation of the CCL for patients with suspected STEMI. Inappropriate activations . false positive activations were identified according to a variety of criteria. Methods All patients with emergency physician CCL activations between August 2009 and April 2011 were included in the study. False positive cases were defined according to ECG criteria and cardiologists reviews of patients initial clinical information. Results ED physicians used a STEMI page to activate the CCL 117 times. According to reviews by cardiologists this activation was appropriate of the time in 105 117 cases . Truly unnecessary activation . cases in which STEMI was not identified by the cardiologists no clear culprit coronary artery was present no significant coronary artery disease and cardiac biomarkers were negative occurred of the time in 6 117 cases . Conclusions CCL activation was appropriate for most patients and was unnecessary in a relatively small percentage of cases. This result supports the current recommendation for CCL activation by emergency physicians. Such early activation is a key .