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June 8, 2017Clinical Medicine (Russian Journal)Open Access

The system of provision of emergency medical aid to patients with acute myocardial infarction; the 30 year experience

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Key result

Compared to 1984, the year 2013 saw a significant increase in AMI patients seeking early medical help and being hospitalized within the first six hours, despite ongoing prehospital delays.

Why the study?

Did the prehospital emergency medical care characteristics for AMI patients improve between 1984 and 2013 in Tomsk?

Population

1,545 acute myocardial infarction cases in residents of Tomsk, excluding episodes of patient death at the…

Comparison

Emergency medical care system in 2013 vs Emergency medical care system in 1984

Design

Cohort

Authors

АГА. А. ГарганееваСОС. А. ОкругинКБК Н Борель

Discussion

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Overview

Observational 30-year comparison of prehospital AMI stages is hypothesis-generating; leaves open need for prospective validation before informing practice.

Study Design

Type

Observational (n=1,545)

Multicenter

No

Structured PICO

Did the prehospital emergency medical care characteristics for AMI patients improve between 1984 and 2013 in Tomsk?

P
Population
1,545 acute myocardial infarction cases registered in Tomsk in 1984 and 2013, excluding prehospital deaths, analyzed to compare prehospital care characteristics over a 30-year period.
E
Exposure
Emergency medical care system in 2013
C
Comparator
Emergency medical care system in 1984
O
Outcome
Characteristics of the prehospital stage (time to seeking medical help, quality of AMI diagnosis by primary care physicians, and time to hospitalization)

Although prehospital AMI care in Tomsk improved over 30 years, significant delays in seeking care and hospitalization remain, highlighting the need for public health education.

Cite This Study

Гарганеева et al. (2017) conducted an observational in Acute myocardial infarction (n=1,545). Year 2013 vs. Year 1984 was evaluated on Characteristics of the prehospital stage of AMI (time to seeking medical help, diagnosis quality, time to hospitalization). Compared to 1984, the year 2013 saw a significant increase in AMI patients seeking early medical help and being hospitalized within the first six hours, despite ongoing prehospital delays.

synapsesocial.com/papers/6a7a1d814353fbf06002147fhttps://doi.org/10.18821/0023-2149-2017-95-5-408-411
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Also Consider

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  1. 1Decade-Long Trends and Factors Associated With Time to Hospital Presentation in Patients With Acute Myocardial Infarction2000 · 170 citations
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