The prehospital 12-lead electrocardiogram's effect on time to initiation of reperfusion therapy: A systematic review and meta-analysis of existing literature

Andrew Han Brainard, William Raynovich, Dan Tandberg, Edward J. Bedrick

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

The prehospital electrocardiogram (ECG) is becoming the standard of care of suspected cardiac chest pain. We evaluated the evidence regarding the prehospital ECG and sought to quantify the reduction in time to reperfusion therapy attributable to the prehospital ECG. We conducted a systematic review and analyzed studies that were conducted in emergency medical systems relevant to providers in the United States. The papers were limited to studies that reported original data that compared prehospital ECG to no prehospital ECG groups. Four studies containing 99 patients met the inclusion criteria. A meta-analysis of these studies revealed a difference of 24.7 (95% confidence interval, 16.7-32.7) minutes. Providers now have a quantified value of the prehospital ECG based on the best published evidence. In addition, this search showed a relatively low quality and quantity of research on the prehospital ECG.

Original languageEnglish (US)
Pages (from-to)351-356
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume23
Issue number3
DOIs
StatePublished - May 2005
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine

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