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Guideline adherence in acute coronary syndromes between telemedically supported paramedics and conventional on-scene physician care: A longitudinal pre–post intervention cohort study.
- Source :
- Health Informatics Journal; Dec2019, Vol. 25 Issue 4, p1528-1537, 10p
- Publication Year :
- 2019
-
Abstract
- Health informatics applications reduce time intervals in acute coronary syndromes, but their impact on guideline adherence is unknown. This pre–post intervention study compared guideline adherence between telemedically supported (n = 101, April 2014–July 2015) and conventional on-scene care (n = 120, January 2014–March 2014) in acute coronary syndrome. A multivariate logistic regression was performed for dependent variables: adverse events 0 versus 0, p = NA; electrocardiogram 101 versus 120, p = NA; acetylic salicylic acid 91 versus 102, p = 0.21; heparin 92 versus 112, p = 0.99; morphine 96 versus 107, p = 0.33; oxygen 83 versus 102, p = 0.92; glyceroltrinitrate 55 versus 90, p = 0.038; correct destination: 100 versus 119, p = 1.0. The time from ambulance arrival to hospital arrival was prolonged with telemedicine: 48.7 ± 11 min versus 35.5 ± 8.1 min, p < 0.001. Guideline adherence showed no differences except for glyceroltrinitrate. Prolonged time requirements are critical, though explainable. However, this approach enables a timely and high-quality backup strategy if only paramedics are on-scene. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
ELECTROCARDIOGRAPHY
EMERGENCY medical services
EMERGENCY medicine
FISHER exact test
LONGITUDINAL method
MEDICAL consultation
MEDICAL protocols
STATISTICS
T-test (Statistics)
TELEMEDICINE
LOGISTIC regression analysis
DATA analysis
PRE-tests & post-tests
RETROSPECTIVE studies
DATA analysis software
ACUTE coronary syndrome
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 14604582
- Volume :
- 25
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health Informatics Journal
- Publication Type :
- Academic Journal
- Accession number :
- 138883049
- Full Text :
- https://doi.org/10.1177/1460458218775157