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Can I read Hospital Protocols and Policies That May Delay Early Identification and Thrombolytic Therapy of Acute Myocardial Infarction Patients on EtoBox?

Hospital Protocols and Policies That May Delay Early Identification and Thrombolytic Therapy of Acute Myocardial Infarction Patients by Costas T. Lambrew; W. Douglas Weaver; William J. Rogers; Laura J. Bowlby; R. Michael Rubison; William J. French is a Medicine article available to read on EtoBox.

What is Hospital Protocols and Policies That May Delay Early Identification and Thrombolytic Therapy of Acute Myocardial Infarction Patients about?

Despite the compelling relationship between early treatment and outcome from reperfusion therapy in patients with acute myocardial infarction, significant delays in early treatment are imposed by the patient, prehospital systems, and hospital processes and protocols used in the identification and treatment of patients with myocardial infarction. A survey instrument designed to determine the prevalence of hospital policies and protocols that might delay or expedite treatment with thrombolytic therapy in patients with acute myocardial infarction was completed by 524 hospitals participating in the National Registry for Myocardial Infarction (NRMI). Participating hospitals had treated 17,646 patients with tissue plasminogen activator. The door to drug time for the entire population of patients treated at each hospital was available. Door to drug times were compared between those hospitals that had a positive response to a policy and those that had a negative response to that policy. Among respondent hospitals, thrombolysis was excluded by protocol in 34.4% for age above 75 and in 55% for presentation after 6 hours of chest pain onset. Furthermore, 29.4% of hospitals required routine la

Who reads Hospital Protocols and Policies That May Delay Early Identification and Thrombolytic Therapy of Acute Myocardial Infarction Patients?

It is typically read by researchers, students, and practitioners in Medicine.

Author
Costas T. Lambrew; W. Douglas Weaver; William J. Rogers; Laura J. Bowlby; R. Michael Rubison; William J. French
Publisher
Springer US; Springer-Verlag; Kluwer Academic Publishers; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 0929-5305)
Published
1996
Language
EN
Field
Medicine (Health Sciences)