eICU Reduces Mortality in STEMI Patients in Resource-Limited Areas
Abstract
Highlights
- Timely healthcare access poses a formidable challenge in the semiurban and rural areas of the developing world. This is particularly noticeable in emergency situations such as ST-segment elevation myocardial infarction (STEMI).
- We explored whether a remotely monitored intensive care unit (electronic ICU [eICU]) would bridge this demand-supply gap.
- To evaluate the efficacy of an eICU model of service and intervention for the early diagnosis of STEMI and prompt initiation of thrombolytic therapy, mortality during 12-month eICU period was compared with the mortality in the same period preceding the eICU establishment.
- Not only initiation of thrombolytic treatment was supported remotely by eICU, but the door-to-needle time in STEMI was reduced by 85% to 26.23 min, resulting in a substantial 70% mortality benefit.
DOI: https://doi.org/10.1016/j.gheart.2014.07.006 | Journal eISSN: 2211-8179
Language: English
Published on: Dec 1, 2014
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
© 2014 Shamit Gupta, Sandeep Dewan, Anjali Kaushal, Ashok Seth, Jagat Narula, Amit Varma, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.