Key result
Pre-hospital cardiac service subscription is linked to a median decision time of 44 minutes.
Observational (n=10,304)
Subscribers to a pre-hospital cardiac emergency service demonstrated a median decision time of 44 minutes, with healthy individuals seeking help significantly earlier than established cardiac patients.
The objectives of this study were to assess the impact of the new 'Shahal' (pre-hospital cardiac service) on subscribers' 'decision time'. A professional 24-h mobile emergency cardiac service has been set up, monitored by intensive care nurses via a central computerized operation unit. All subscribers carry a cardiobeeper for trans-telephonic transmission of a 3-lead electrocardiogram as well as an automatic intramuscular lidocaine injector for self-injection. During a 1-year period, data from 10,304 subscribers' charts were reviewed and analysed. Seventy-nine percent were cardiac patients and 15% were completely healthy. Median decision time for the general population was 44 min (range < 15 min to > 3 h); 59% of subscribers called within 1 h from onset of symptoms and 29% delayed calling for 3 h and more. The healthy subjects alerted the service significantly earlier (29 min). Three patterns of behaviour emerged from analysis of the daily distribution of calls.
No takes yet. Share an insight, caveat, or question.
Roth et al. (1995) conducted an observational in Subscribers to 'Shahal' cardiac service (n=10,304). 'Shahal' pre-hospital cardiac service was evaluated on Decision time. Subscribers to the 'Shahal' pre-hospital cardiac service had a median decision time of 44 minutes, with healthy subjects alerting the service significantly earlier (29 minutes).
Synapse has enriched 5 related papers. Consider them for comparative context: