[Implementation of an emergency clinical pathway for ST-elevation myocardial infarction in the Lazio Region: results of a pilot study].
Identifieur interne : 000398 ( PubMed/Corpus ); précédent : 000397; suivant : 000399[Implementation of an emergency clinical pathway for ST-elevation myocardial infarction in the Lazio Region: results of a pilot study].
Auteurs : Assunta De Luca ; Stefania Gabriele ; Laura Lauria ; Carlo Francia ; Alessandro Caminiti ; Marco Tubaro ; Sergio Pillon ; Christian Pristipino ; Fabrizio Ammirati ; Gabriella GuasticchiSource :
- Giornale italiano di cardiologia (2006) [ 1827-6806 ] ; 2008.
English descriptors
- KwdEn :
- MESH :
- geographic : Italy.
- therapy : Myocardial Infarction.
- Aged, Critical Pathways, Emergency Treatment, Female, Humans, Male, Pilot Projects, Prospective Studies.
Abstract
Timely reperfusion therapies (primary angioplasty and pre-hospital thrombolysis) remain a key component in improving the survival of patients with ST-segment elevation myocardial infarction (STEMI). The Lazio Region emergency organization has a complex mixed logistic (the large city of Rome, presence of complex orography), therefore the use of telemedicine technologies by the emergency medical system (EMS) is mandatory. Emergency clinical pathways (ECP) for the management of STEMI patients were designed, focusing on early pre-hospital diagnosis and best appropriate treatment through the ECG transmission and teleconsultation among EMS and cardiologists in coronary care units (CCU).
PubMed: 18383774
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pubmed:18383774Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Implementation of an emergency clinical pathway for ST-elevation myocardial infarction in the Lazio Region: results of a pilot study].</title><author><name sortKey="De Luca, Assunta" sort="De Luca, Assunta" uniqKey="De Luca A" first="Assunta" last="De Luca">Assunta De Luca</name><affiliation><nlm:affiliation>Area Governo dell'Offerta Lazio Sanità, Agenzia di Sanità Pubblica della Regione Lazio, Roma. deluca@asplazio.it</nlm:affiliation></affiliation></author><author><name sortKey="Gabriele, Stefania" sort="Gabriele, Stefania" uniqKey="Gabriele S" first="Stefania" last="Gabriele">Stefania Gabriele</name></author><author><name sortKey="Lauria, Laura" sort="Lauria, Laura" uniqKey="Lauria L" first="Laura" last="Lauria">Laura Lauria</name></author><author><name sortKey="Francia, Carlo" sort="Francia, Carlo" uniqKey="Francia C" first="Carlo" last="Francia">Carlo Francia</name></author><author><name sortKey="Caminiti, Alessandro" sort="Caminiti, Alessandro" uniqKey="Caminiti A" first="Alessandro" last="Caminiti">Alessandro Caminiti</name></author><author><name sortKey="Tubaro, Marco" sort="Tubaro, Marco" uniqKey="Tubaro M" first="Marco" last="Tubaro">Marco Tubaro</name></author><author><name sortKey="Pillon, Sergio" sort="Pillon, Sergio" uniqKey="Pillon S" first="Sergio" last="Pillon">Sergio Pillon</name></author><author><name sortKey="Pristipino, Christian" sort="Pristipino, Christian" uniqKey="Pristipino C" first="Christian" last="Pristipino">Christian Pristipino</name></author><author><name sortKey="Ammirati, Fabrizio" sort="Ammirati, Fabrizio" uniqKey="Ammirati F" first="Fabrizio" last="Ammirati">Fabrizio Ammirati</name></author><author><name sortKey="Guasticchi, Gabriella" sort="Guasticchi, Gabriella" uniqKey="Guasticchi G" first="Gabriella" last="Guasticchi">Gabriella Guasticchi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18383774</idno><idno type="pmid">18383774</idno><idno type="wicri:Area/PubMed/Corpus">000398</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000398</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Implementation of an emergency clinical pathway for ST-elevation myocardial infarction in the Lazio Region: results of a pilot study].</title><author><name sortKey="De Luca, Assunta" sort="De Luca, Assunta" uniqKey="De Luca A" first="Assunta" last="De Luca">Assunta De Luca</name><affiliation><nlm:affiliation>Area Governo dell'Offerta Lazio Sanità, Agenzia di Sanità Pubblica della Regione Lazio, Roma. deluca@asplazio.it</nlm:affiliation></affiliation></author><author><name sortKey="Gabriele, Stefania" sort="Gabriele, Stefania" uniqKey="Gabriele S" first="Stefania" last="Gabriele">Stefania Gabriele</name></author><author><name sortKey="Lauria, Laura" sort="Lauria, Laura" uniqKey="Lauria L" first="Laura" last="Lauria">Laura Lauria</name></author><author><name sortKey="Francia, Carlo" sort="Francia, Carlo" uniqKey="Francia C" first="Carlo" last="Francia">Carlo Francia</name></author><author><name sortKey="Caminiti, Alessandro" sort="Caminiti, Alessandro" uniqKey="Caminiti A" first="Alessandro" last="Caminiti">Alessandro Caminiti</name></author><author><name sortKey="Tubaro, Marco" sort="Tubaro, Marco" uniqKey="Tubaro M" first="Marco" last="Tubaro">Marco Tubaro</name></author><author><name sortKey="Pillon, Sergio" sort="Pillon, Sergio" uniqKey="Pillon S" first="Sergio" last="Pillon">Sergio Pillon</name></author><author><name sortKey="Pristipino, Christian" sort="Pristipino, Christian" uniqKey="Pristipino C" first="Christian" last="Pristipino">Christian Pristipino</name></author><author><name sortKey="Ammirati, Fabrizio" sort="Ammirati, Fabrizio" uniqKey="Ammirati F" first="Fabrizio" last="Ammirati">Fabrizio Ammirati</name></author><author><name sortKey="Guasticchi, Gabriella" sort="Guasticchi, Gabriella" uniqKey="Guasticchi G" first="Gabriella" last="Guasticchi">Gabriella Guasticchi</name></author></analytic><series><title level="j">Giornale italiano di cardiologia (2006)</title><idno type="ISSN">1827-6806</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Critical Pathways</term><term>Emergency Treatment</term><term>Female</term><term>Humans</term><term>Italy</term><term>Male</term><term>Myocardial Infarction (therapy)</term><term>Pilot Projects</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Myocardial Infarction</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Critical Pathways</term><term>Emergency Treatment</term><term>Female</term><term>Humans</term><term>Male</term><term>Pilot Projects</term><term>Prospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Timely reperfusion therapies (primary angioplasty and pre-hospital thrombolysis) remain a key component in improving the survival of patients with ST-segment elevation myocardial infarction (STEMI). The Lazio Region emergency organization has a complex mixed logistic (the large city of Rome, presence of complex orography), therefore the use of telemedicine technologies by the emergency medical system (EMS) is mandatory. Emergency clinical pathways (ECP) for the management of STEMI patients were designed, focusing on early pre-hospital diagnosis and best appropriate treatment through the ECG transmission and teleconsultation among EMS and cardiologists in coronary care units (CCU).</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18383774</PMID><DateCreated><Year>2008</Year><Month>04</Month><Day>03</Day></DateCreated><DateCompleted><Year>2008</Year><Month>08</Month><Day>29</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Print">1827-6806</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>2</Issue><PubDate><Year>2008</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Giornale italiano di cardiologia (2006)</Title><ISOAbbreviation>G Ital Cardiol (Rome)</ISOAbbreviation></Journal><ArticleTitle>[Implementation of an emergency clinical pathway for ST-elevation myocardial infarction in the Lazio Region: results of a pilot study].</ArticleTitle><Pagination><MedlinePgn>118-25</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Timely reperfusion therapies (primary angioplasty and pre-hospital thrombolysis) remain a key component in improving the survival of patients with ST-segment elevation myocardial infarction (STEMI). The Lazio Region emergency organization has a complex mixed logistic (the large city of Rome, presence of complex orography), therefore the use of telemedicine technologies by the emergency medical system (EMS) is mandatory. Emergency clinical pathways (ECP) for the management of STEMI patients were designed, focusing on early pre-hospital diagnosis and best appropriate treatment through the ECG transmission and teleconsultation among EMS and cardiologists in coronary care units (CCU).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">To evaluate the effectiveness of ECP-STEMI in the current practice, a prospective observational cohort study of ambulance-transported patients with cardiovascular symptoms was conducted in a selected area of the Lazio Region during a 6-month period. The implementation of the ECP was carried out by educational activities for the EMS personnel based on the "experiential learning" methods.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">From October 2005 to March 2006, 287 patients were enrolled in the study and a pre-hospital ECG was performed in 66% of them. One hundred and fifty-two patients were referred to hospital and only 34 had discharged diagnosis of acute myocardial infarction, of whom 23 were STEMI. In the 34 acute myocardial infarction patients the medium time from "call to the EMS" to "arrival to the hospital" was 41 min (range 29-63 min) and 3 had their ECG telematically transmitted from the ambulance to the CCU. All of these cases were STEMI. Twenty-eight acute myocardial infarctions were discharged alive, 2 were transferred in other hospitals, 4 died. No patients received pre-hospital thrombolysis. Prior to the ECP implementation the ECG for STEMI patients has never been transmitted by EMS to the CCU in the Lazio Region.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our study suggests that adherence to ECP improved the appropriateness of STEMI patient referral and treatment in the CCU in the Lazio Region. The EMS personnel, during the study, showed a high interest in the protocol trying to change their current practice. The Regional Administration plans to expand the utilization of ECP to all regional emergency network (EMS and Emergency Departments) and to improve its use.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>De Luca</LastName><ForeName>Assunta</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Area Governo dell'Offerta Lazio Sanità, Agenzia di Sanità Pubblica della Regione Lazio, Roma. deluca@asplazio.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gabriele</LastName><ForeName>Stefania</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Lauria</LastName><ForeName>Laura</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Francia</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Caminiti</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Tubaro</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Pillon</LastName><ForeName>Sergio</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Pristipino</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Ammirati</LastName><ForeName>Fabrizio</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Guasticchi</LastName><ForeName>Gabriella</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><CollectiveName>Gruppo di Lavoro del Progetto Cuore Sicuro</CollectiveName></Author></AuthorList><Language>ita</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><VernacularTitle>Implementazione di un percorso clinico-assistenziale per la gestione dei pazienti con infarto miocardico con sopraslivellamento del tratto ST nella rete dell'emergenza del Lazio: risultati di uno studio pilota.</VernacularTitle></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>G Ital Cardiol (Rome)</MedlineTA><NlmUniqueID>101263411</NlmUniqueID><ISSNLinking>1827-6806</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019091">Critical Pathways</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004638">Emergency Treatment</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009203">Myocardial Infarction</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010865">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><InvestigatorList><Investigator ValidYN="Y"><LastName>Guasticchi</LastName><ForeName>Gabriella</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>De Luca</LastName><ForeName>Assunta</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Gabriele</LastName><ForeName>Stefania</ForeName><Initials>S</Initials></Investigator><Investigator ValidYN="Y"><LastName>Ferri</LastName><ForeName>Marica</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Lori</LastName><ForeName>Giuliano</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Genio</LastName><ForeName>Stefano</ForeName><Initials>S</Initials></Investigator><Investigator ValidYN="Y"><LastName>Borgia</LastName><ForeName>Piero</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Caprara</LastName><ForeName>Andrea</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Bracciale</LastName><ForeName>Gian Luigi</ForeName><Initials>GL</Initials></Investigator><Investigator ValidYN="Y"><LastName>Verallo</LastName><ForeName>Patrizia</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Tasciotti</LastName><ForeName>Pierluigi</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Richichi</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Tanzi</LastName><ForeName>Pietro</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Pillon</LastName><ForeName>Sergio</ForeName><Initials>S</Initials></Investigator><Investigator ValidYN="Y"><LastName>Matcovich</LastName><ForeName>Alberto</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Montanari</LastName><ForeName>Sandro</ForeName><Initials>S</Initials></Investigator><Investigator ValidYN="Y"><LastName>Neri</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Investigator><Investigator ValidYN="Y"><LastName>Di Gennaro</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Greco</LastName><ForeName>Cesare</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Serdoz</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Investigator><Investigator ValidYN="Y"><LastName>Argiolas</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Barbolini</LastName><ForeName>Mirca</ForeName><Initials>M</Initials></Investigator><Investigator ValidYN="Y"><LastName>Caminiti</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>De Angelis</LastName><ForeName>Livio</ForeName><Initials>L</Initials></Investigator><Investigator ValidYN="Y"><LastName>D'Urso</LastName><ForeName>Antonio</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>Polletta</LastName><ForeName>Bruno</ForeName><Initials>B</Initials></Investigator><Investigator ValidYN="Y"><LastName>Pristipino</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Tubaro</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Investigator></InvestigatorList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>4</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>8</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>4</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18383774</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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