PATIENT AND SYSTEM-RELATED GAPS IN EMERGENCY MEDICAL SERVICES USE IN ST-ELEVATION MYOCARDIAL INFARCTION: RESULTS FROM THE THIRD GULF REGISTRY OF ACUTE CORONARY EVENTS

Compared to non-EMS group, EMS users were less likely to have history of angina or MI (10 vs 17 %; p=0.009), had lower rates of Killip class II/III on admission (5.4 vs 17%, p <.001), were more likely to present initially to a primary or secondary health care facility (77 vs 20%, p <.001) and...

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Published inJournal of the American College of Cardiology Vol. 65; no. 10; p. A148
Main Authors AlHabib, Khalid F, Sulaiman, Kadhim, Suwaidi, Jassim Al, Almahmeed, Wael, Alsheikh-Ali, Alawi, Jarallah, Mohammed Al, Amin, Haitham, AlFaleh, Hussam, Panduranga, Prashanth, Hersi, Ahmad, Kashour, Tarek, Aseri, Zohair Al, Ullah, Anhar, Welsh, Robert, Yusuf, Salim
Format Journal Article
LanguageEnglish
Published New York Elsevier Inc 17.03.2015
Elsevier Limited
Subjects
Cardiology
Cardiovascular
Cardiovascular disease
Emergency medical care
Heart attacks
Hospitals
Internal Medicine
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Summary:Compared to non-EMS group, EMS users were less likely to have history of angina or MI (10 vs 17 %; p=0.009), had lower rates of Killip class II/III on admission (5.4 vs 17%, p <.001), were more likely to present initially to a primary or secondary health care facility (77 vs 20%, p <.001) and had longer symptom onset-to-emergency room arrival time; but had shorter door-to-needle and door-to-balloon times (Figure, p <.05 for all time-lines).
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(15)60148-6