当前位置： SCI文献检索 > JOURNAL OF ELECTROCARDIOLOGY期刊下所有文献 > Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group.

Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group.

Abstract：

BACKGROUND:Reducing time to reperfusion treatment for patients with ST-segment elevation myocardial infarction (STEMI) improves patient outcomes. Few medical systems consistently meet current benchmarks regarding timely access to treatment. Studies have widely demonstrated that prehospital 12-lead electrocardiography can facilitate early catheterization laboratory activation and is the most effective means of decreasing patients' time to treatment. METHODS:We gathered experts to examine the barriers to implementation of prehospital 12-lead electrocardiographic monitoring and transmission to in-hospital cardiologists in creating seamless STEMI care systems (STEMI-CS) and propose multidisciplinary approaches to overcoming these barriers. RESULTS AND CONCLUSIONS:Physicians, hospital systems, and emergency medical services often lack coordination of care delivery and receive fragmented funding and oversight. Clinical and regulatory guidelines do not emphasize local solutions to achieving clinical benchmarks, do not target incentives at all components of the STEMI-CS, and underemphasize risk-based approaches to protecting patient health. Integration of the multiple complex components involved in STEMI-CS is essential to improving care delivery.

journal_name

J Electrocardiol

journal_title

Journal of electrocardiology

authors

Frendl DM,Palmeri ST,Clapp JR Jr,Hampton D,Sejersten M,Young D,Drew B,Farrell R,Innes J,Russell J,Rowlandson GI,Purim-Shem-Tov Y,Underhill BK,Zhou S,Wagner GS,Journal of Electrocardiology Prehospital 12-lead ECG Working Gro

doi

10.1016/j.jelectrocard.2009.03.011

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

426-31

issue

5

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(09)00075-2

journal_volume

42

pub_type

杂志文章

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