Critical Pathways in Cardiology by Christopher P. Cannon, Patrick T. O'Gara

By Christopher P. Cannon, Patrick T. O'Gara

Critical pathways resolution the necessity for supplying budget friendly remedy whereas conserving the standard of sufferer care. This quantity specializes in serious pathways in cardiology. The ebook starts with an outline of ways to enforce the pathways, their targets, cause, and shortcomings. many of the textual content is dedicated to sensible details together with quite a few tables, checklists, algorithms, and examples of pathways, making this quantity fast and straightforward to take advantage of for cardiologists, internists, and different healthcare pros excited by cardiac sufferer care. medical trials also are mentioned to supply the evidence-based reasoning for the pathways.

A Brandon-Hill steered title.

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Ann Emerg Med 1997;29:99–108. 11. Hoekstra JW, Gibler WB, Levy RC, et al. Emergency-department diagnosis of acute myocardial infarction and ischemia: a cost analysis of two diagnostic protocols. Acad Emerg Med 1994;1:103–110. 12. Gomez MA, Anderson JL, Karagounis LA, et al. An emergency department based protocol for rapidly ruling out myocardial ischemia reduces hospital time and expense: results of a randomized study (ROMIO). J Am Coll Cardiol 1996;28:25–33. 13. Mikhail MG, Smith FA, Gray M, et al.

8-4. Reduction in door-to-drug time with implementation of thrombolysis critical pathways and protocols (6,11,12 and 13,78). FIG. 8-5. Relationship of door-to-drug time on multivariate adjusted mortality. (Reproduced from Cannon CP, Gibson CM, Lambrew CT, et al. Longer thrombolysis door-to-needle times are associated with increased mortality in acute myocardial infarction: an analysis of 85,589 patients in the National Registry of Myocardial Infarction 2 + 3. ) Choice of Thrombolytic Agent Initially, our pathway allowed for the use of either tissue plasminogen activator (tPA) or streptokinase, with use being 97% tPA (9).

Results of the Thrombolysis in Myocardial Infarction (TIMI) phase II trial. N Engl J Med 1989;320:618–627. Williams DO, Braunwald E, Knatterud G, et al. One-year results of the Thrombolysis in Myocardial Infarction Investigation (TIMI) phase II trial. Circulation 1992;85:533–542. Terrin ML, Williams DO, Kleiman NS, et al. Two- and three-year results of the Thrombolysis in Myocardial Infarction (TIMI) phase II clinical trial. J Am Coll Cardiol 1993;22:1763–1772. ) Trial Study Group. SWIFT trial of delayed elective intervention v.

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