March 10, 2009Internal Medicine Journal

Patients with acute myocardial infarction using ambulance or private transport to reach definitive care: which mode is quicker?

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Why the study?

Does ambulance transport reduce time to definitive care and reperfusion therapy in patients with STEMI compared to private transportation?

Population

498 patients with ST-elevation myocardial infarction admitted within 12 h of symptom onset to 19 hospitals…

Comparison

Ambulance transport (emergency medical service) vs Private transportation

Design

Cohort

Authors

SLSong LiTufts Medical Center HYHongbing YanChinese Academy of Medical Sciences & Peking Union Medical College DHDayi HuPreventive Cardiology

Discussion

Member takes

Implication

Ambulance transport was associated with faster STEMI care times; extends observational data but should not change practice without RCTs.

Structured PICO

Does ambulance transport reduce time to definitive care and reperfusion therapy in patients with STEMI compared to private transportation?

Population

498 patients with ST-elevation myocardial infarction admitted within 12 h of symptom onset to 19 hospitals in Beijing between 1 November 2005 and 31 December 2006

Intervention

Ambulance transport (emergency medical service)

Comparator

Private transportation

Outcome

Elapsed time to definitive care (measured as decision to seek care to hospital arrival vs EMS arrival on scene, decision to seek care to hospital arrival, decision to seek care to reperfusion therapy, and symptom onset to reperfusion therapy)surrogate

Ambulance transport for STEMI patients results in faster access to initial definitive care and shorter symptom-to-balloon times compared to private transport, despite private transport having a faster trip to the hospital.

Cite This Study

Li et al. (2009) studied this question.

synapsesocial.com/papers/6a7d4031b920b2eb497757fb https://doi.org/10.1111/j.1445-5994.2009.01944.x

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Patients with acute myocardial infarction using ambulance or private transport to reach definitive care: which mode is quicker?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Patients with acute myocardial infarction using ambulance or private transport to reach definitive care: which mode is quicker?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider