Early text page alarms sent to cardiologists reduce door-to-balloon times in ST-elevation myocardial infarction

Title
Early text page alarms sent to cardiologists reduce door-to-balloon times in ST-elevation myocardial infarction
Author
신진호
Issue Date
2014-06
Publisher
SAGE PUBLICATIONS LTD, 1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND
Citation
JOURNAL OF TELEMEDICINE AND TELECARE, 권: 20, 호: 5, 페이지: 242-249
Abstract
We assessed an early notification system using smartphones to reduce door-to-balloon times (DTBT) in ST-elevation myocardial infarction (STEMI). Text page alarms were sent to cardiologists for all patients presenting with chest pain or an equivalent in the emergency department before acquisition of an electrocardiogram (ECG). A total of 210 patients (with mean age of 59 years) were investigated (109 in the intervention group and 101 in a control group from the previous two-year period). The primary outcome, the DTBT, was significantly lower in the intervention group compared to the control group (55.0 and 92.5 min, respectively, P < 0.001). In a secondary analysis, the length of hospital stay was also significantly less. However, there was no significant improvement in all-cause one-year mortality. Early text page alarms using smartphones were effective in reducing the DTBT, but had a limited effect on clinical outcome.
URI
http://journals.sagepub.com/doi/abs/10.1177/1357633X14536350http://repository.hanyang.ac.kr/handle/20.500.11754/70853
ISSN
1357-633X; 1758-1109
DOI
10.1177/1357633X14536350
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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