Navigation Links
Community education may shorten treatment time for heart attack patients
Date:11/16/2010

Systematic education in rural and suburban communities can significantly shorten onset to hospital arrival times for patients with chest pain, according to study findings to be presented Nov. 16 at the 2010 annual American Heart Association (AHA) Scientific Sessions in Chicago.

Time to treatment is the key determinant of outcome in patients with acute heart attacks, or ST-elevation myocardial infarction (STEMI). Although the total time to reperfusion (chest pain onset to balloon) is critical, the major focus has been on decreasing door-to-balloon (D2B) times since the time from chest pain onset to hospital arrival is patient dependent, according to the study authors.

"While we've made tremendous strides in D2B times for heart attack patients once they arrive in the treating hospital, we have been less successful in reducing the time of chest pain onset to the arrival to the treating hospital," says principal investigator Timothy D. Henry, MD, an interventional cardiologist at the Minneapolis Heart Institute at Abbott Northwestern Hospital in Minneapolis. "Previous data indicate that these delays, which are often patient-related, are approximately two hours."

For the study, the researchers examined the effect of their regional Level 1 MI program, which uses a standardized protocol for percutaneous coronary invention (PCI) in STEMI patients in 32 rural and community hospitals, to assess the components of total reperfusion time.

During the development of the regional STEMI program, healthcare professionals and physicians involved in emergency medical services, emergency departments and rural and community hospitals received extensive training. Additionally, local community education focused on an increase community awareness of STEMI, as well as the involvement of the local community hospital in a regional STEMI system.

Henry and his colleagues at Minneapolis Heart Institute found that for the 1,193 patients in Zone One (0-60 miles from PCI center), the time of chest pain onset to presentation was 88 minutes; and for the 835 patients in Zone Two (60-210 miles from PCI hospital), the time of chest pain onset to presentation was 90 minuteswhich is statistically significantly faster than the average of two hours.

Conversely, those patients who were in the immediate vicinity of the urban PCI center had a time of chest pain onset to presentation of 103 minutes.

The researchers hypothesized that "local community education in rural and community hospitals is the most likely reason for the significantly shorter chest pain onset to hospital arrival times in Zone One and Zone Two hospitals."

"While we can't conclusively assert that education efforts led to these faster treatment times, we can show that these patients in rural and suburban communities that received outreach education came to the hospital significantly faster than those in the city," Henry concludes.


'/>"/>

Contact: Meghan Bethke
mbethke@mhif.org
612-863-5410
Minneapolis Heart Institute Foundation
Source:Eurekalert

Related medicine news :

1. Community rallies to fight obesity in Clevelands urban youth
2. Poor sleep quality increases inflammation, community study finds
3. Majority of community facilities performing breast MRI exams meet ACRIN and EUSOBI technical requirements
4. International Menopause Society calls upon medical community to improve the vaginal health of postmenopausal women
5. Prostate cancer community calls for better early detection and treatment
6. Progress against child deaths will lag until family, community care prioritized
7. For migrant workers, community cooperation builds on individual strengths
8. Healthiest pregnant women feel a strong sense of community
9. New online community launched to help medical practices learn about meaningful use
10. Success of community interventions for childhood obesity varies depending on the target age group
11. Ochsner Health System Connects Community Physicians to Electronic Medical Records; Orion Health HIE Solution Provides Access to Healthcare Providers Across the Gulf South
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out of ... verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all ... brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary ...
(Date:6/24/2016)... ... , ... People across the U.S. are sharpening their pencils and honing their ... in which patients and their families pay tribute to a genetic counselor by nominating ... of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, ...
(Date:6/24/2016)... Las Vegas, Nevada (PRWEB) , ... June 24, ... ... their Las Vegas client, The Grove Investment Group (TGIG), has initiated cultivation and ... The Grove, in Las Vegas and Pahrump, Nevada. , Puradigm is the manufacturer ...
(Date:6/24/2016)... ... 24, 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... 20th at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. ... service members that have been wounded in battle and their families. Venture Construction Group ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research ... MEMS Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data ... analysis. Assessment of major trends with potential impact on the ... analysis of market segmentation which comprises of sub markets, regional ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 If ... Leaders Scholarship is any indication, the future is in ... at www.diabetesscholars.org by the Diabetes Scholars Foundation ... the way of academic and community service excellence. ... since 2012, and continues to advocate for people with ...
(Date:6/23/2016)... -- Research and Markets has announced the ... (United States, China, Japan, Brazil, United Kingdom, Germany, France, ... Surgical Procedure Volumes: ... provides surgical procedure volume data in a geographic context. ... analysis of growth drivers and inhibitors, including world population ...
Breaking Medicine Technology: