Delays to Thrombolysis in the Treatment of Myocardial Infarction
1993; Royal College of Physicians; Volume: 27; Issue: 1 Linguagem: Inglês
10.1016/s0035-8819(25)01058-x
ISSN0035-8819
AutoresG. Parry, W N Wrightson, Linda J. Hood, Philip C. Adams, D S Reid,
Tópico(s)Cardiac Arrest and Resuscitation
ResumoIn-hospital delays to thrombolysis were significantly shorter when thrombolysis was available on admission to the accident and emergency department than after transfer to the coronary care unit (median 60 min v 84 min, p < 0.0001). With direct admission by general practitioners to a coronary care unit the subsequent in-hospital delay was shorter (median 39 min p = 0.0004), but overall delay to thrombolysis longer (median 220 v 170 min, p = 0.0019) because of longer pre-hospital delays. Overall delay was shortest with emergency ambulance referral and thrombolysis being administered in the accident and emergency department.
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