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August 22, 1992BMJOpen Access

Time delays in provision of thrombolytic treatment in six district hospitals. Joint Audit Committee of the British Cardiac Society and a Cardiology Committee of Royal College of Physicians of London.

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Population

1934 patients admitted with suspected myocardial infarction across six district general hospitals in Britain.

Design

Cohort

Authors

JBJohn BirkheadGuy's Hospital

Discussion

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Overview

A&E thrombolysis may shorten door-to-needle times in MI; supports faster pathways but leaves clinical adoption open pending trials.

Structured PICO

P
Population
1934 patients admitted with suspected myocardial infarction across six district general hospitals in Britain.
I
Intervention
Route of admission (emergency call vs doctor call) and treatment location (accident and emergency department vs cardiac care unit)
O
Outcome
Route of admission to hospital and time to admission and thrombolysis

Time to thrombolysis for suspected myocardial infarction can be substantially reduced by utilizing emergency services and administering treatment in the accident and emergency department rather than the cardiac care unit.

Cite This Study

John Birkhead (1992) studied this question.

synapsesocial.com/papers/6a07f80a09b3c82015378dcdhttps://doi.org/10.1136/bmj.305.6851.445
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevention of Myocardial Damage in Acute Myocardial Ischemia by Early Treatment with Intravenous Streptokinase1985 · 372 citations
  2. 2Potential time saving with pre-hospital intervention in acute myocardial infarction1988 · 31 citations
  3. 3Effect of "fast track" admission for acute myocardial infarction on delay to thrombolysis.1992 · 117 citations
  4. 4An Analysis of Time Delays Preceding Thrombolysis for Acute Myocardial Infarction1989 · 164 citations
  5. 5Management of myocardial infarction: implications for current policy derived from the Nottingham Heart Attack Register.1992 · 46 citations