Critical Pathway Improves Arrival-In-Cath-Lab Interval for Patients With Acute Myocardial Infarction in the Emergency Department
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概要
- 論文の詳細を見る
A newly developed critical pathway has been applied to emergency medical care of patients with acute myocardial infarction(AMI)in the emergency department. The arrival-in-cath-lab interval(ACI)was selected as a clinical indicator of quality assurance, according to Americal Heart Association and American College of Cardiology guidelines. This report describes the first experience of applying the critical pathway to patients with AMI in an emergency department in Japan. The ACI of 35 AMI patients who underwent primary percutaneous transluminal coronary angioplasty during a 24-month period following application of the pathway were compared with those of 50 AMI patients during the 48 months before application of the pathway. The median ACI value was significantly reduced from 65.5 min to 50.0 min. Also, the proportion of patients with acceptably short ACI(<60min)significantly improved from 42.0% to 68.6%.
- 社団法人日本循環器学会の論文
- 2001-09-20
著者
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AIKAWA Naoki
Emergency and Critical Care Medicine, Keio University School of Medicine
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Ogawa Satoshi
Cardiopulmonary Division, Department of Internal Medicine, Keio University School of Medicine
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Yoshikawa Tsutomu
Cardio-pulmonary Division of Keio University School of Medicine
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Aikawa N
Department Of Emergency & Critical Care Medicine School Of Medicine Keio University
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Aikawa Naoki
Emergency And Critical Care Medicine Keio University School Of Medicine
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Asakura Yasushi
Department Of Caridology Toyohashi Heart Center
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Asakura Yasushi
Cardiopulmonary Division Department Of Medicine Keio University School Of Medicine
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Hori Shingo
Department Of Emergency & Critical Care Medicine School Of Medicine Keio University
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Hori Shingo
慶応義塾大学 循環器内科
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Yoshikawa Tsutomu
Cardiology Division Department Of Medicine Keio University School Of Medicine
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Nakamura Iwao
Hino Municipal Hospital
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HORI Shingo
Emergency Medicine,Keio Univewrsity
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Suzuki Masaru
Department Of Emergency & Critical Care Medicine School Of Medicine Keio University
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Asakura Yasushi
Cardiopulmonary Division Keio University School Of Medicine
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Nakamura Iwao
Emergency Medicine, Department of Internal Medicine, Keio University
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Suzuki Masaru
Emergency Medicine, Department of Internal Medicine, Keio University
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Suzuki Masahiro
Department Of Emergency & Critical Care Medicine School Of Medicine Keio University
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Aikawa Naoki
Dept. Of Emergency Medicine And Internal Medicine Keio University School Of Medicine
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Ogawa Satoshi
Cardio-pulmonary Division Department Of Medicine Keio University School Of Medicine
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Hattori Shigehiko
Emergency Medicine
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Hori Shingo
Department Of Medicine School Of Medicine Keio University
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Nakamura Iwao
Department Of Emergency And Critical Care Medicine School Of Medicine Keio University
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Asakura Yasushi
Cardiology Division Department Of Internal Medicine Keio University
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Hori Shingo
Emergency And Critical Care Medicine Keio University School Of Medicine
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Miyoshi Shunichiro
Department Of Emergency & Critical Care Medicine School Of Medicine Keio University
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