Usefulness of Prehospital Triage in Patients With Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention

Ortolani, Paolo; Marzocchi, Antonío; Marrozzini, Cinzia; Palmerini, Tullio; Saia, Francesco; Baldazzi, Federica; Silenzi, Simona; Taglieri, Nevio; Reggiani, Maria Letizia Bacchi; Gordini, Giovanni; Guastaroba, Paolo; Grilli, Roberto; Branzi, Angelo

doi:10.1016/j.amjcard.2007.03.099

Cited by 47 publications

(44 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…37,38,42,51,52 Six studies evaluated prehospital triage tools. 25,33,36,47,48,53 Interventions of prehospital cardiac care were evaluated in five studies, and three studies investigated the impact of prehospital 12-lead electrocardiograms (ECGs). 26,27,30 One study investigated prehospital AMI diagnosis, 53 and a study evaluate protocol for percutaneous coronary intervention (PCI) bypass.…”

Section: Discussionmentioning

confidence: 99%

“…There were three studies that compared the intervention with a prospective control group. [23][24][25] They all demonstrated a positive result that favored the intervention, but the risk of bias was large. If the intervention group consisted of volunteers who were compared to non-volunteers in the control group, it was difficult to establish which factors influenced the outcome due to the chance of selection bias.…”

Section: Excluded Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Decision-Support Tool in Prehospital Care: A Systematic Review of Randomized Trials

Hagiwara

Henricson

Jönsson

et al. 2011

Prehosp. Disaster med.

View full text Add to dashboard Cite

Objective: The objective of this study was to evaluate the effects of the decision support tool (DST) on the assessment of the acutely ill or injured out-of-hospital patient. Methods: This study included systematic reviews of randomized controlled trials (RCT) where the DST was compared to usual care in and out of the hospital setting. The databases scanned include: (1) Cochrane Reviews (up to January 2010); (2) Cochrane Controlled Clinical Trials (1979 to January 2010); (3) Cinahl (1986 to January 2010); and (4) Pubmed/ Medline (1926 to January 2010). In addition, information was gathered from related magazines, prehospital home pages, databases for theses, conferences, grey literature and ongoing trials. Results: Use of the DST in prehospital care may have the possibility to decrease "time to definitive care" and improve diagnostic accuracy among prehospital personnel, but more studies are needed. Conclusions:The amount of data in this review is too small to be able to draw any reliable conclusions about the impact of the use of the DST on prehospital care. The research in this review indicates that there are very few RCTs that evaluate the use of the DST in prehospital care. IntroductionPrehospital patient assessment is different compared to assessments provided in hospitals. Often, the ambulance personnel are sent to medical emergencies with very little background information. The person who initiates the call for help sometimes is not able to describe the situation, and therefore, the ambulance personnel have difficulties preparing themselves for the task. The ambulance personnel's work situation has been described as "extreme". "They have routinely required working in environments of extreme and constant uncertainty." 1 These environmental factors lead to great strain on the prehospital caregiver's ability when assessing patients. In addition, there have been very few randomized controlled trials (RTC) that have evaluated prehospital care. 2 When 14 ambulance nurses in Sweden were asked about factors that influence their decision-making, several factors that were crucial for the decision were elicited. Important factors included: (1) time of day; (2) season and weather; (3) amount of time before other resources could arrive to the scene; (4) if there was threat of security; (5) stress; (6) environment; (7) diagnosis and; (8) type of patient assessed. 3 A qualitative study by Wireklint Sundström described the need of an "open mind" in the performance of prehospital assessments, and noted that prehospital caregivers must put their preconceived ideas aside when they meet and assess patients. 4 As assessments and treatments of patients in prehospital emergency medical care are becoming more advanced and complex, prehospital emergency care is on the eve of a new and emerging role. 5 Many organizations are searching for alternatives to Accident and Emergency (A&E) treatments, 6 but according to a recent systematic review, prehospital personnel's preparedness for this task is poor. 7 Another future task ...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Excluded Studiesmentioning

confidence: 99%

Decision-Support Tool in Prehospital Care: A Systematic Review of Randomized Trials

Hagiwara

Henricson

Jönsson

et al. 2011

Prehosp. Disaster med.

View full text Add to dashboard Cite

show abstract

“…There has been a growing use of telemedicine as regards the sending and interpreting of electrocardiograms (ECG) [1][2][3][4][5] . This growth has been even greater in Asynchronous Telemedicine, in which the tests are sent to a server for further analysis and reporting by a specialist.…”

Section: Introductionmentioning

confidence: 99%

Emissão de laudos eletrocardiográficos a distância: experiência da rede catarinense de telemedicina

Giuliano¹,

Barcellos²,

Wangenheim³

et al. 2012

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

show abstract

“…Delays caused by cardiac arrest and/or cardiogenic shock are associated with high in-hospital mortality (22), and the inclusion of these patients in the analysis would likely have biased the results. That is not to say that whenever possible patients with shock should not be transferred directly to a PCI center, as the survival benefit of rapid reperfusion may be the greatest for these patients (23). Second, our results may not apply to regions where trained paramedics are not available to establish STEMI in the pre-hospital setting.…”

Section: Figure 2 Results Of Multivariable Logistic Regression Analysismentioning

confidence: 48%

Reduction in Mortality as a Result of Direct Transport From the Field to a Receiving Center for Primary Percutaneous Coronary Intervention

May

Wells

et al. 2012

Journal of the American College of Cardiology

View full text Add to dashboard Cite

show abstract

Usefulness of Prehospital Triage in Patients With Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention

Cited by 47 publications

References 15 publications

Decision-Support Tool in Prehospital Care: A Systematic Review of Randomized Trials

Decision-Support Tool in Prehospital Care: A Systematic Review of Randomized Trials

Emissão de laudos eletrocardiográficos a distância: experiência da rede catarinense de telemedicina

Reduction in Mortality as a Result of Direct Transport From the Field to a Receiving Center for Primary Percutaneous Coronary Intervention

Contact Info

Product

Resources

About