The prehospital 12-lead electrocardiogram's effect on time to initiation of reperfusion therapy: a systematic review and meta-analysis of existing literature

被引：53

作者：

Brainard, AH

Raynovich, W

Tandberg, D

Bedrick, EJ

机构：

[1] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA

[2] Creighton Univ, EMS Educ, Omaha, NE 68131 USA

[3] Univ New Mexico, Dept Emergency Med, Albuquerque, NM 87131 USA

[4] Univ New Mexico, Dept Math & Stat, Albuquerque, NM 87131 USA

[5] Univ New Mexico, Dept Internal Med, Albuquerque, NM 87131 USA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2005年 / 23卷 / 03期

关键词：

D O I：

10.1016/j.ajem.2005.02.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The prehospital electrocardiogram (ECG) is becoming the standard of care of suspected cardiac chest pain. We evaluated the evidence regarding the prehospital ECG and sought to quantify the reduction in time to reperfusion therapy attributable to the prehospital ECG. We conducted a systematic review and analyzed studies that were conducted in emergency medical systems relevant to providers in the United States. The papers were limited to studies that reported original data that compared prehospital ECG to no prehospital ECG groups. Four studies containing 99 patients met the inclusion criteria. A meta-analysis of these studies revealed a difference of 24.7 (95% confidence interval, 16.732.7) minutes. Providers now have a quantified value of the prehospital ECG based on the best published evidence. In addition, this search showed a relatively low quality and quantity of research on the prehospital ECG. (c) 2005 Elsevier Inc. All rights reserved.

引用

页码：351 / 356

页数：6

共 26 条

[1]

AUFDERHEIDE TP, 1994, ACAD EMERG MED, pA13

[2] Primary angioplasty versus prehospital fibrinolysis in acute myocardial infarction: a randomised study [J].

Bonnefoy, E ;

Lapostolle, F ;

Leizorovicz, A ;

Steg, G ;

McFadden, EP ;

Dubien, PY ;

Cattan, S ;

Boullenger, E ;

Machecourt, J ;

Lacroute, JM ;

Cassagnes, J ;

Dissait, F ;

Touboul, P .

LANCET, 2002, 360 (9336) :825-829

[3]

BRANARD AH, 2002, PREHOSP DISASTER MED, P33

[4] Effect of ambulance 12-lead ECG recording on times to hospital reperfusion in acute myocardial infarction [J].

Brown, SGA ;

Galloway, DM .

MEDICAL JOURNAL OF AUSTRALIA, 2000, 172 (02) :81-84

[5] HAWTHORNE EFFECT - IMPLICATIONS FOR PREHOSPITAL RESEARCH [J].

CAMPBELL, JP ;

MAXEY, VA ;

WATSON, WA .

ANNALS OF EMERGENCY MEDICINE, 1995, 26 (05) :590-594

[6] Prehospital thrombolysis: An idea whose time has come [J].

Cannon, CP ;

Sayah, AJ ;

Walls, RM .

CLINICAL CARDIOLOGY, 1999, 22 (08) :10-19

[7] A COHORT STUDY OF SUMMARY REPORTS OF CONTROLLED TRIALS [J].

CHALMERS, I ;

ADAMS, M ;

DICKERSIN, K ;

HETHERINGTON, J ;

TARNOWMORDI, W ;

MEINERT, C ;

TONASCIA, S ;

CHALMERS, TC .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 263 (10) :1401-1405

[8]

Crocco Todd J, 2002, Prehosp Emerg Care, V6, P224, DOI 10.1080/10903120290938599

[9] The prehospital 12-lead electrocardiogram: Impact on management of the out-of-hospital acute coronary syndrome patient [J].

Ferguson, JD ;

Brady, WJ ;

Perron, AD ;

Kielar, ND ;

Benner, JP ;

Currance, SB ;

Braithwaite, S ;

Aufderheide, TP .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2003, 21 (02) :136-142

[10]

Fleiss J L, 1993, Stat Methods Med Res, V2, P121, DOI 10.1177/096228029300200202

← 1 2 3 →