December 12, 2012Circulation Cardiovascular Quality and OutcomesOpen Access

Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries

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Why the study?

Does an integrated regional STEMI network improve reperfusion rates and care intervals for STEMI patients in developing countries?

Structured PICO

Does an integrated regional STEMI network improve reperfusion rates and care intervals for STEMI patients in developing countries?

Population

287 patients with confirmed STEMI (out of 433 suspected victims), mean age 62.1±12.5 years, 63.4% men, in Salvador, Bahia, Brazil.

Intervention

Integrated regional STEMI network coordinated by prehospital emergency medical services, utilizing telemedicine for 12-lead ECG interpretation and a Regional STEMI Alert Team to facilitate thrombolysis or primary percutaneous coronary intervention.

Outcome

Reperfusion rate and time intervals (pain-to-admission, admission-to-ECG, ECG-to-telemedicine report)surrogate

Regional STEMI networks utilizing telemedicine and coordinated alert teams are feasible and effective in developing countries, achieving high reperfusion rates.

Discussion

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Implication

Supports feasibility of regional STEMI networks in developing countries; leaves open whether RCTs confirm outcome benefits.

Cite This Study

Solla et al. (2012) studied this question.

synapsesocial.com/papers/6a95a37ceae36b2f6ea8e744 https://doi.org/10.1161/circoutcomes.112.967505

Topics

Percutaneous coronary intervention

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Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries

Structured PICO

Discussion

Implication

Cite This Study

Topics

Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider