Abstract

EPELDE, F.  and  SOCIEDAD ESPANOLA DE MEDICINA DE URGENCIAS (SEMES). Grupo de Trabajo de Cardiopatía Isquémica. Situation of thrombolitic infarction treatment of patients with acute myocardial infarction in the Emergency Departments. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.2, pp.27-29. ISSN 0212-7199.

Objectives: The aim of the present study was to know the situation of trombolysis in Catalonia. Material and methods: A questionnaire was sent to all the hopitals in Catalonia regarding to the administration of thrombolitic treatment in their hospitals Results: 29 centres replied (18 primary, 10 secondary and 1 tertiary), serving a total catchment population of 4.2 million and with a total number of 2,853 AMIs in. The mean time from the onset of symptoms to arrival at hospital was 176.3±96 min and from arrival of the patient at the hospital to the initiation of thrombolysis was 78.7±73.8 min. Most commonly, it was the Emergency Department staff who took the decision on thrombolysis (17 centres). A total of 47±12% of the AMIs received thrombolytic treatment with 61.76±42.77% of these treatments being carried out in the Emergency Departments. The internal delay to initiating thrombolysis was of 33.7±11.9 min in the centres without an ITU versus 112±8 min in those centres with an ITU (p=0.0067). In the centres with an ITU but in which it was the doctor in the Emergency Department who took the decision on thrombolysis (n=7), the internal delay was shorter (84.3±80.59 min).  Conclusions: There is a shorter delay in the administration of thrombolytic treatment in those emergency departments which do not have access to an ITU or Coronary Unit than in the Emergency Departments which do have this access. If the decision to carry out thrombolysis is taken by the emergency department doctors there is a substantial reduction in the time to its administration.

Keywords : Thrombolitic treatment; Acute myocardial infarction.

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