Matches in SemOpenAlex for { <https://semopenalex.org/work/W2141275815> ?p ?o ?g. }
Showing items 1 to 87 of
87
with 100 items per page.
- W2141275815 endingPage "339" @default.
- W2141275815 startingPage "335" @default.
- W2141275815 abstract "Abstract Introduction Achieving target door–needle times for ST elevation myocardial infarction remains challenging. Data on emergency department (ED) doctor-led thrombolysis in developing countries and factors causing delay are limited. Objectives To assess the effect on door–needle times by transferring responsibility for thrombolysis to the ED doctors and to identify predictors of prolonged door–needle times. Methodology Data on medical on-call team-led thrombolysis at a tertiary Asian hospital were prospectively collected from May 2007 to Aug 2008 (1st study period). In September 2008, ED doctors were empowered to perform thrombolysis. The practice change was accompanied by new guidelines, tick chart implementation, and training sessions. Data were then consecutively collected from September 2008 to May 2009 (2nd study period). Door-to-needle times for the 1st and 2nd study periods were compared. All cases were analysed for factors of delay by multiple logistic regression. Results 297 patients were thrombolysed, 169 by the medical on-call team during the 1st study period and 128 by the ED doctors during the 2nd study period. Median door–needle times were 54 and 48 min, respectively (p=0.76). Significant delays were predicted by ‘incorrect initial ECG interpretation’ (adjusted OR (aOR) 14.3), ‘inappropriate triage’ (aOR 10.4) and ‘multiple referrals’ (aOR 5.9). No cases of inappropriate thrombolysis were recorded. Conclusions Transfer of responsibility for thrombolysis to the ED doctors did not improve door–needle times despite measures introduced to facilitate this change. Key causative factors for this failure were identified." @default.
- W2141275815 created "2016-06-24" @default.
- W2141275815 creator A5009232411 @default.
- W2141275815 creator A5060494225 @default.
- W2141275815 creator A5067143057 @default.
- W2141275815 creator A5068561401 @default.
- W2141275815 creator A5080306647 @default.
- W2141275815 creator A5084178785 @default.
- W2141275815 date "2013-03-22" @default.
- W2141275815 modified "2023-10-17" @default.
- W2141275815 title "Failure to improve door-to-needle time by switching to emergency physician-initiated thrombolysis for ST elevation myocardial infarction" @default.
- W2141275815 cites W1980820444 @default.
- W2141275815 cites W2003996048 @default.
- W2141275815 cites W2010615823 @default.
- W2141275815 cites W2063004685 @default.
- W2141275815 cites W2108780124 @default.
- W2141275815 cites W2114625228 @default.
- W2141275815 cites W2115097140 @default.
- W2141275815 cites W2129805832 @default.
- W2141275815 cites W2130507157 @default.
- W2141275815 cites W2140196141 @default.
- W2141275815 cites W2331401669 @default.
- W2141275815 cites W4213156194 @default.
- W2141275815 doi "https://doi.org/10.1136/postgradmedj-2012-131174" @default.
- W2141275815 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3664394" @default.
- W2141275815 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23524989" @default.
- W2141275815 hasPublicationYear "2013" @default.
- W2141275815 type Work @default.
- W2141275815 sameAs 2141275815 @default.
- W2141275815 citedByCount "7" @default.
- W2141275815 countsByYear W21412758152014 @default.
- W2141275815 countsByYear W21412758152015 @default.
- W2141275815 countsByYear W21412758152016 @default.
- W2141275815 crossrefType "journal-article" @default.
- W2141275815 hasAuthorship W2141275815A5009232411 @default.
- W2141275815 hasAuthorship W2141275815A5060494225 @default.
- W2141275815 hasAuthorship W2141275815A5067143057 @default.
- W2141275815 hasAuthorship W2141275815A5068561401 @default.
- W2141275815 hasAuthorship W2141275815A5080306647 @default.
- W2141275815 hasAuthorship W2141275815A5084178785 @default.
- W2141275815 hasBestOaLocation W21412758151 @default.
- W2141275815 hasConcept C126322002 @default.
- W2141275815 hasConcept C151956035 @default.
- W2141275815 hasConcept C159110408 @default.
- W2141275815 hasConcept C194828623 @default.
- W2141275815 hasConcept C2777120189 @default.
- W2141275815 hasConcept C2779581417 @default.
- W2141275815 hasConcept C2780724011 @default.
- W2141275815 hasConcept C500558357 @default.
- W2141275815 hasConcept C545288138 @default.
- W2141275815 hasConcept C545542383 @default.
- W2141275815 hasConcept C71924100 @default.
- W2141275815 hasConceptScore W2141275815C126322002 @default.
- W2141275815 hasConceptScore W2141275815C151956035 @default.
- W2141275815 hasConceptScore W2141275815C159110408 @default.
- W2141275815 hasConceptScore W2141275815C194828623 @default.
- W2141275815 hasConceptScore W2141275815C2777120189 @default.
- W2141275815 hasConceptScore W2141275815C2779581417 @default.
- W2141275815 hasConceptScore W2141275815C2780724011 @default.
- W2141275815 hasConceptScore W2141275815C500558357 @default.
- W2141275815 hasConceptScore W2141275815C545288138 @default.
- W2141275815 hasConceptScore W2141275815C545542383 @default.
- W2141275815 hasConceptScore W2141275815C71924100 @default.
- W2141275815 hasIssue "1052" @default.
- W2141275815 hasLocation W21412758151 @default.
- W2141275815 hasLocation W21412758152 @default.
- W2141275815 hasLocation W21412758153 @default.
- W2141275815 hasLocation W21412758154 @default.
- W2141275815 hasOpenAccess W2141275815 @default.
- W2141275815 hasPrimaryLocation W21412758151 @default.
- W2141275815 hasRelatedWork W1982536824 @default.
- W2141275815 hasRelatedWork W2003996048 @default.
- W2141275815 hasRelatedWork W2114136181 @default.
- W2141275815 hasRelatedWork W2117899802 @default.
- W2141275815 hasRelatedWork W2130920879 @default.
- W2141275815 hasRelatedWork W2183023103 @default.
- W2141275815 hasRelatedWork W2216674862 @default.
- W2141275815 hasRelatedWork W2336612561 @default.
- W2141275815 hasRelatedWork W2559485670 @default.
- W2141275815 hasRelatedWork W2755305523 @default.
- W2141275815 hasVolume "89" @default.
- W2141275815 isParatext "false" @default.
- W2141275815 isRetracted "false" @default.
- W2141275815 magId "2141275815" @default.
- W2141275815 workType "article" @default.