effective factors in door-to-needle time for streptokinase administration in patients with acute myocardial infarction admitted to the emergency department
نویسندگان
چکیده
conclusions the door-to-needle (dtn) time, in a standard setting, is recommended to be less than 30 minutes. according to the results of this study, the dtn time is comparatively two times longer in females and afternoon and night shifts. different variables including emergency staff, physicians, patients’ characteristics, and environmental/physical factors induced this difference. results in this study, 31 female and 79 male subjects were included, respectively. the mean time to receive the first dose of streptokinase was 66.39 minutes (73.74 minutes for females and 63.5 minutes for male patients), varying from 49.92 minutes in the morning to 69.78 minutes in the afternoon and 72.68 minutes during night shifts. patients and methods this cross-sectional study was conducted on 110 patients admitted to the emergency department of imam hussein hospital in tehran, iran. data were collected using checklists, completed by the patients’ next of kin or the emergency staff. to analyze the data, student t- test and analysis of variance were used. background cardiovascular incidents are a common cause of death around the world. acute myocardial infarction (ami) poses high risks for the patient due to plaque rupture or erosion along with a superimposed non-occlusive thrombus; therefore, timely treatment with antithrombotic agents plays a key role in reducing an ami mortality rate. objectives the present study aimed to assess the time interval between the admission of ami-suspected patients and treatment initiation.
منابع مشابه
Effective Factors in Door-to-Needle Time for Streptokinase Administration in Patients With Acute Myocardial Infarction Admitted to the Emergency Department
BACKGROUND Cardiovascular incidents are a common cause of death around the world. Acute myocardial infarction (AMI) poses high risks for the patient due to plaque rupture or erosion along with a superimposed non-occlusive thrombus; therefore, timely treatment with antithrombotic agents plays a key role in reducing an AMI mortality rate. OBJECTIVES The present study aimed to assess the time in...
متن کاملAssessing Time between Arriving to Hospital and Administration of Streptokinase in Patients with Acute Myocardial Infarction in Emergency Department of Kerman University of Medical Sciences in 2003-4
Introduction: Acute myocardial infarction is one of the major causes of mortality in developing countries such as Iran. One of the most important progresses in acute myocardial infarction is early administration of therombolytic agents such as streptokinase. This study was performed to determine the time interval from patients’ referral to the emergency wards to the introduction of thrombolytic...
متن کاملCorrection to: Effective Factors on Delayed Onset of Treatment in Patients with Acute Myocardial Infarction
Correction to: Effective Factors on Delayed Onset of Treatment in Patients with Acute Myocardial Infarction Ensiyeh Rezaee1, Nasrin Hanifi2, Mahin Rohani3, Soghrat Faghih Zadeh4 1 MSc Student in Critical Care Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran 2 Assistant Professor, Department of Critical Care Nursing, Faculty of Nursin...
متن کاملDoor-to-needle time for administration of fibrinolytics in acute myocardial infarction in Cape Town.
OBJECTIVES To determine the current door-to-needle time for the administration of fibrinolytics for acute myocardial infarction (AMI) in emergency centres (ECs) at three hospitals in Cape Town, and to compare it with the American Heart Association/American College of Cardiology (AHA/ACC) recommendation of 30 minutes as a marker of quality of care. METHODS A retrospective review of case notes ...
متن کاملUsing risk factors to help in the diagnosis of acute myocardial infarction in patients with non-diagnostic electrocardiogram changes in emergency department
Objective: This study aimed to determine the association of cardiac risk factors and the risk of Acute Myocardial Infarction (AMI) in Emergency Department (ED) patients with non-diagnostic ECG changes. Methods: This cross-sectional study was conducted in the ED of Imam Hossein Hospital during a period of one year. In this study, patients with symptoms s...
متن کاملThe streptokinase therapy complications and its associated risk factors in patients with acute ST elevation myocardial infarction
Acute myocardial infarction (AMI) is one of the main leading causes of mortality and morbidity. Despite the progress in the treatment of AMI, streptokinase is still being used in many countries. Because of the critical condition of patients with AMI and complications of streptokinase therapy, this study was performed to evaluate the pattern of adverse drug reaction (ADRs) induced by streptokina...
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trauma monthlyجلد ۲۱، شماره ۱، صفحات ۰-۰
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