Minimising delays to thrombolysis in patients developing acute myocardial infarction in hospital
Why the study?
Does in-hospital development of acute myocardial infarction compared to community presentation affect delays to thrombolysis?
Population
100 patients, comprising 50 presenting with acute myocardial infarction from the community and 50 presenting…
Comparison
In-hospital development of acute myocardial… vs Presentation with acute myocardial infarction…
Design
Cohort
Authors
Discussion
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Member takes
Implication
In-hospital AMI onset was associated with shorter thrombolysis delays; hypothesis-generating for direct cardiac ward admission in high-risk patients.
Structured PICO
Does in-hospital development of acute myocardial infarction compared to community presentation affect delays to thrombolysis?
P
Population
100 patients, comprising 50 presenting with acute myocardial infarction from the community and 50 presenting with cardiac symptoms who developed an infarct after being admitted to a general medical ward for observation.
I
Intervention
In-hospital development of acute myocardial infarction after admission to a general medical ward
C
Comparator
Presentation with acute myocardial infarction from the community
O
Outcome
Delay from onset of symptoms to thrombolysis
Patients developing acute myocardial infarction in-hospital experience delays to thrombolysis primarily due to patient delay in seeking assistance, suggesting high-risk patients should be admitted directly to cardiac wards.
Cite This Study
Mumford et al. (1997) studied this question.