Why the study?
Does pre-hospital diagnosis and direct referral reduce treatment delay in patients with ST-elevation myocardial infarction?
Does pre-hospital diagnosis and direct referral reduce treatment delay in patients with ST-elevation myocardial infarction?
Pre-hospital diagnosis and direct routing to a PCI-capable center reduces treatment delays for patients with STEMI.
Supports pre-hospital STEMI diagnosis with direct referral to cut delays; hypothesis-generating, needs randomized outcome trials before practice change.
In a cohort of patients scheduled for admission to a local hospital and subsequent transferral to an interventional centre for primary PCI, those diagnosed pre-hospitally had shorter treatment delay compared with those diagnosed in hospital, both in the setting of initial admission to a local hospital, and to an even larger extent in the setting of referral directly to the interventional centre.
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Terkelsen et al. (2005) studied this question.
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