THE EFFECT OF ESI TI=RIAGE, IN IMPROVING THE TIME OF FIBRINOLYTIC THERAPY IN PATIENTS WITH ACUTE ST-ELEVATION MI

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BOLVARDI EHSAN; FEIZ DISFANI HAMIDEH; KAMANDI MOSTAFA

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2014 | Volume:57 | Issue:2 Page(s): 495-504

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Title

THE EFFECT OF ESI TI=RIAGE, IN IMPROVING THE TIME OF FIBRINOLYTIC THERAPY IN PATIENTS WITH ACUTE ST-ELEVATION MI

Author(s)

BOLVARDI EHSAN | FEIZ DISFANI HAMIDEH | KAMANDI MOSTAFA | Issue Writer Certificate

Keywords

THROMBOLYTIC THERAPYQ2

ST-SEGMENT ELEVATION MYOCARDIAL INFARCTIONQ3

STREPTOKINASEQ3

EMERGENCY SEVERITY INDEX (ESI) TRIAGEQ2

Abstract

Introduction: Acute Myocardial Infarction is one of the most common diseases all over the world and the first cause of death in Iran. Reperfusion therapy is the cornerstone of the effective treatment in these patients. Early THROMBOLYTIC THERAPY leads to better coronary reperfusion, and a greater reduction in mortality and reinfarction rates. The main purpose of this study, was to evaluate the effect of ESI triage, in improving the time of fibrinolytic therapy, in patients with STelevation MI, in emergency department of Imam Reza Hospital (from December 2009 to june 2012).Methods: This was an observational prospective study - before and after the implementation of ESI triage- Carried out, in 210 patients with STE- MI, referred to Imam Reza Hospital Emergency department. We compared door-to- ECG and door-to-needle times, between the two groups; spot check triage and ESI triage.Result: Overall 210 patients were included in this study, 105 patients were triaged through spot check method and 105 patients triaged through ESI triage.The mean age of the patients, was 55.56±1.36 years The door-to-ECG time was significantly lower in the ESI triage group than spot check triage ones (35±10.38 v.s.15.02±10.33 mins) (p<0.001). The door-to-needle time was also, significantly lower in the ESI- triaged patients (50.23±11.10 v.s.30.56±6.03 mins) (p<0.001).Conclusion: Implementation of ESI triage, can Significantly lower the door-toneedle time in the patients with STEMI, and hence, decrease the morbidity and mortality in these Patients.

Cites

THE EFFECT OF IMPLEMENTATION OF CARDIAC TRIAGE SCALE ON TIME INDICES OF TRIAGE IN PATIENTS WITH CHEST PAIN

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APA: Copy

BOLVARDI, EHSAN, FEIZ DISFANI, HAMIDEH, & KAMANDI, MOSTAFA. (2014). THE EFFECT OF ESI TI=RIAGE, IN IMPROVING THE TIME OF FIBRINOLYTIC THERAPY IN PATIENTS WITH ACUTE ST-ELEVATION MI. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 57(2), 495-504. SID. https://sid.ir/paper/51696/en

Vancouver: Copy

BOLVARDI EHSAN, FEIZ DISFANI HAMIDEH, KAMANDI MOSTAFA. THE EFFECT OF ESI TI=RIAGE, IN IMPROVING THE TIME OF FIBRINOLYTIC THERAPY IN PATIENTS WITH ACUTE ST-ELEVATION MI. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2014;57(2):495-504. Available from: https://sid.ir/paper/51696/en

IEEE: Copy

EHSAN BOLVARDI, HAMIDEH FEIZ DISFANI, and MOSTAFA KAMANDI, “THE EFFECT OF ESI TI=RIAGE, IN IMPROVING THE TIME OF FIBRINOLYTIC THERAPY IN PATIENTS WITH ACUTE ST-ELEVATION MI,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 57, no. 2, pp. 495–504, 2014, [Online]. Available: https://sid.ir/paper/51696/en

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