February 15, 1992BMJOpen Access

Increased prescription of thrombolytic treatment to elderly patients with suspected acute myocardial infarction associated with audit.

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Why the study?

Does a clinical audit increase the prescription of thrombolytic treatment in elderly patients with suspected acute myocardial infarction?

Structured PICO

Does a clinical audit increase the prescription of thrombolytic treatment in elderly patients with suspected acute myocardial infarction?

Population

229 elderly patients (aged ≥65) with subsequently proved acute myocardial infarction admitted to a coronary care unit (110 in first audit, 119 in second audit).

Intervention

Clinical management intervention/audit to increase prescription of thrombolytic treatment.

Comparator

Pre-intervention clinical management (first audit).

Outcome

Prescription rate of thrombolytic treatment.

A clinical audit significantly increased the appropriate prescription of thrombolytic therapy in elderly patients with acute myocardial infarction.

Discussion

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Implication

Audit linked to higher thrombolytic use in elderly AMI; leaves open whether RCTs confirm outcome benefits before practice change.

Cite This Study

Hendra et al. (1992) studied this question.

synapsesocial.com/papers/6a85669b159a1fb27a2020a0 https://doi.org/10.1136/bmj.304.6824.423

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Ask AI

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Increased prescription of thrombolytic treatment to elderly patients with suspected acute myocardial infarction associated with audit.

Structured PICO

Discussion

Implication

Cite This Study

Increased prescription of thrombolytic treatment to elderly patients with suspected acute myocardial infarction associated with audit.

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider