Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/286
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dc.contributor.authorMountian, David*
dc.contributor.authorJelinek, George A.*
dc.contributor.authorO'Brien, Debra L.*
dc.contributor.authorIngarfield, Sharyn L.*
dc.contributor.authorJacobs, Ian G.*
dc.contributor.authorLynch, Dania M.*
dc.date.accessioned2013-05-29T07:37:55Zen
dc.date.available2013-05-29T07:37:55Zen
dc.date.issued2002en
dc.identifier.govdoc00276en
dc.identifier.issn0013-6654en
dc.identifier.urihttp://hdl.handle.net/11054/286en
dc.description.abstractObjective: To describe revascularization practice for acute myocardial infarction in a sample of Australasian hospitals during 1999. Design: Survey for the 1999 calendar year. Setting: Hospitals with Australasian College for Emergency Medicine-accredited emergency departments in Australia and New Zealand. Participants: Forty-eight hospitals of 80 surveyed (60%), comprising 15 tertiary and 33 non-tertiary hospitals. Main outcome measures: Time from arrival in emergency department to initiation of thrombolytic therapy, site of therapy, agent used, mortality and intracranial haemorrhage rates. Results: Approximately 30% of patients with acute myocardial infarction had revascularization therapy. Sixty-two per cent of patients receiving thrombolytics were given this treatment in the emergency department, the remainder in the coronary care unit. Overall median door-to-needle times were 35.0 min emergency department versus 48.3 min coronary care unit. Streptokinase was used for 58.3% of thrombolysis. In-hospital mortality of thrombolysed patients was 6.7% in the emergency department versus 4.3% in the coronary care unit with intracranial haemorrhage rates of 0.8% emergency department and 0.7% coronary care unit. Conclusions: Overall times to thrombolysis and outcome rates in this sample were within internationally reported figures. Emergency department times were shorter than in coronary care unit. This study was undertaken with the data obtained from Ballarat Health Services.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2013-05-28T02:13:34ZNo. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2013-05-29T07:37:55Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2013-05-29T07:37:55Z (GMT). No. of bitstreams: 0 Previous issue date: 2002en
dc.publisherWileyen
dc.relation.urihttp://onlinelibrary.wiley.com/doi/10.1046/j.1442-2026.2002.00342.x/abstracten
dc.titleThrombolysis for acute myocardial infarction in Australasia 1999.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleEmergency Medicineen
dc.bibliographicCitation.volume14en
dc.bibliographicCitation.issue3en
dc.bibliographicCitation.stpage267en
dc.bibliographicCitation.endpage274en
dc.publisher.placeFremantle, W.A.en
dc.subject.healththesaurusEMERGENCY DEPARTMENTen
dc.subject.healththesaurusEMERGENCY MEDICINEen
dc.subject.healththesaurusTHROMBOLYSISen
dc.subject.healththesaurusMYOCARDIAL INFARCTIONen
dc.subject.healththesaurusEMERGENCY SERVICE, HOSPITALen
dc.subject.healththesaurusREVASCULARIZATION THERAPYen
dc.date.issuedbrowse2002-01-01en
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