TY - JOUR
T1 - The prehospital 12-lead electrocardiogram's effect on time to initiation of reperfusion therapy
T2 - A systematic review and meta-analysis of existing literature
AU - Brainard, Andrew Han
AU - Raynovich, William
AU - Tandberg, Dan
AU - Bedrick, Edward J.
N1 - Funding Information:
Funding was provided by the University of New Mexico Emergency Medical Services Academy.
PY - 2005/5
Y1 - 2005/5
N2 - 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.
AB - 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.
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U2 - 10.1016/j.ajem.2005.02.004
DO - 10.1016/j.ajem.2005.02.004
M3 - Article
C2 - 15915413
AN - SCOPUS:19544392352
SN - 0735-6757
VL - 23
SP - 351
EP - 356
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 3
ER -