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- W2953764209 abstract "Pre-hospital thrombolysis (PHT) is an effective reperfusion strategy for patients with ST elevation myocardial infarction (STEMI) in randomised controlled trials. In regional Victoria, STEMI patients have limited access to PCI-centres. There's insufficient data informing clinicians and ambulance staff regarding geographic suitability for PHT over primary-PCI (PPCI). We aimed to graphically represent regions in Victoria according to travel time to the nearest STEMI centre to determine eligibility for PHT. Using the geocoding function in the Google Maps Application Programming Interface (API), 200 addresses were created per postcode for Victoria, Australia. An estimation of travel times between these addresses and all publicity funded PCI-centres in Victoria, at varying times of day were calculated using the Google Maps “Distance” API. The ggmap package was modified in-house to specify departure times from each address, a specific Google traffic model and a time of day (representing varying traffic conditions). We divided Victoria into 2 zones (thrombolysis vs. PPCI) based on a predicted travel time of 60 minutes to PCI-centre. The map generated defines a 60 minute boundary for clinicians and ambulance staff to guide which patients should receive PHT vs PPCI. Approximately 5.1 million people reside within 60 minutes from a STEMI centre with an estimated 2968 STEMI cases. 789,000 people live outside this area, with a predicted 601 (18.2%) STEMI patients. Traffic congestion don’t significantly impact on travel times at this 60 minute threshold. By integrating map software with distance to destination and travel time, predicting the suitability of thrombolysis and PPCI for STEMI patients is possible." @default.
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- W2953764209 date "2019-01-01" @default.
- W2953764209 modified "2023-09-26" @default.
- W2953764209 title "Geographically Based Thrombolysis in ST Elevation Myocardial Infarction: A Digitally Integrated Map Software Study" @default.
- W2953764209 doi "https://doi.org/10.1016/j.hlc.2019.06.388" @default.
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