Naslov
The impact of pre-hospital emergency care on outcome in patients with acute coronary syndrome ; Clinical Medical Sciences - Research Proposal

Autori
Gashi, Musli ; Degoricija, Vesna ; Bajraktari, Gani

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
PhD Programme Biomedicine and Health Sciences PhD Day 2013 Abstract Book / Lacković, Zdravko et al. - Zagreb : Medicinska naklada, 2013, 86-86

ISBN
978-953-176-568-8

Skup
PhD Programme Biomedicine and Health Sciences PhD Day 2013

Mjesto i datum
Zagreb, Hrvatska, 23.05.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
acute coronary syndrome; emergency medicine

Sažetak
Introduction: Most deaths from acute coronary syndrome (ACS) occur in the first few hours after the onset of symptoms, mainly from fatal arrhythmia’s which could be prevented by rapid access to specialized care. Recent studies have demonstrated the effectiveness of pre-hospital emergency in reducing the time between onset of symptoms, diagnosis and beginning of treatment, as well as in reducing mortality in ACS patients. Hypothesis: Implementation of pre- hospital and hospital emergency care will improve outcome of patients admitted to hospital with ccute coronary syndrome. Aims: The general aim of this thesis is to evaluate the impact of pre-hospital and hospital emergency care in the management and prognosis of patients admitted to the hospital with acute coronary syndrome. Specific aims are to analyze the outcome of ACS patients admitted to emergency department through pre-hospital emergency care or by self arranged transportation, to illustrate the importance of time in minutes between the onset of symptoms as reported by the patient and admission to the hospital, between the onset of symptoms and the first ECG and between entering the emergency department and the beginning of the therapy. Materials and methods: Observational prospective clinical study included all cases of ACS patients (defined in accordance with the criteria of the 2000 consensus document Myocardial Infarction redefined of the ESC/ACC Joint Committee) admitted to emergency department of University Clinical Center of Kosova between January 1, 2011 and December 31, 2012. The patients were divided in two different groups: firstly according to the way of admission to the hospital (through pre- hospital emergency care or by self arranged transportation) and secondly by the clinical presentation of ACS, e.g. unstable angina, non- ST-elevation acute myocardial infarction (NSTEMI) and ST-elevation acute myocardial infarction (STEMI). Expected scientific contribution: The performance of the Kosova emergency system for the acute treatment of ACS patients has not been thoroughly studied. Emergency medicine, a field relatively new to even the most developed societies, is in its infancy in Kosova. It is expected to find specific outcome of patients with ACS in studied population, and prognostic factors connected with worse outcome. Poster code: B-6- 99.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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