Executive Summary ― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

Q: What is the clinical evidence from this study?

Study design: Systematic Review. Population: Suspected ST-elevation myocardial infarction (STEMI) (n=29365). Intervention: Prehospital 12-lead ECG acquisition and hospital notification vs. No ECG acquisition or no notification. Primary outcome: Short-term mortality (30-day or in-hospital mortality) (OR 0.72, 95% CI 0.61-0.85, p=<0.0001).

Q: What does this research mean for the field?

Prehospital 12-lead ECG acquisition and destination hospital notification significantly reduce short-term mortality in adult patients with suspected STEMI. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Migaku Kikuchi; Yoshio Tahara; Junichi Yamaguchi; Takahiro Nakashima; Osamu Nomura; Akihito Tanaka; Sunao Kojima; Katsutaka Hashiba; Naoki Nakayama; Hiroyuki Hanada; Toshiaki Mano; Takeshi Yamamoto; Ichiro Takeuchi; Tetsuya Matoba; Hiroshi Nonogi

doi:10.1253/circj.cj-23-0096

April 19, 2023Circulation JournalOpen Access

Executive Summary ― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

View Full Paper

Ask AI

Bookmark

Share

Study Design

Type

Systematic Review (n=29,365)

PICO

P

Population

29,365 adult patients with suspected STEMI occurring outside of a hospital, analyzed in a systematic review to evaluate the impact of prehospital 12-lead ECG acquisition and hospital notification.

I

Intervention / Comparator

Prehospital 12-lead ECG acquisition and hospital notification vs No ECG acquisition or no notification

O

Primary Outcome

Short-term mortality (30-day or in-hospital mortality) — OR 0.72 (0.61-0.85), p=<0.0001

Main Result

Odds Ratio: 0.72 (95% CI 0.61–0.85)

Absolute Event Rate: 5.3% vs 8.2%

p-value: p=<0.0001

Limitations

Most included studies in the systematic reviews were observational rather than randomized controlled trials.
There is a lack of evidence specifically from Japan, making it difficult to directly apply overseas data.
Recording a prehospital 12-lead ECG is not yet widely practiced in Japan.

Abstract

No abstract yet. The journal hasn't published one we can show.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Kikuchi et al. (2023) conducted a systematic review in Suspected ST-elevation myocardial infarction (STEMI) (n=29,365). Prehospital 12-lead ECG acquisition and hospital notification vs. No ECG acquisition or no notification was evaluated on Short-term mortality (30-day or in-hospital mortality) (OR 0.72, 95% CI 0.61-0.85, p=<0.0001).

synapsesocial.com/papers/6ac46d13f375db205875bb59 https://doi.org/10.1253/circj.cj-23-0096

View Full Paper

Ask AI

Bookmark

Share

Executive Summary ― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

Study Design

PICO

Main Result

Limitations

Abstract

Discussion

Cite This Study

Executive Summary ― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

Study Design

PICO

Main Result

Limitations

Abstract

Discussion

Cite This Study

Keep reading

Keep reading