Vetter N J, Pocock S, Julian D G
Br Heart J. 1979 Apr;41(4):418-25. doi: 10.1136/hrt.41.4.418.
A mobile coronary care unit working within a geographically defined area retrieved 20% of the estimated number of cases with myocardial infarction. These cases were similar to the population at risk in terms of age, sex, and previous history of ischaemic heart disease. Patients retrieved by the mobile unit had a lower overall case fatality ratio. This discrepancy was greater than could be explained by resuscitation or preventive treatment by the mobile unit teams. Reasons for this difference in mortality were explored. The benefits of the mobile coronary care unit were obvious in terms of the existing service but small in terms of the community. Any judgment on the effectiveness of a mobile unit must use both approaches to get a balanced view.
一个在特定地理区域内开展工作的流动冠心病监护病房收治了约20%的心肌梗死预估病例数。这些病例在年龄、性别和既往缺血性心脏病病史方面与高危人群相似。流动监护病房收治的患者总体病死率较低。这种差异大于流动监护病房团队进行复苏或预防性治疗所能解释的范围。对死亡率存在这种差异的原因进行了探讨。就现有服务而言，流动冠心病监护病房的益处显而易见，但就社区层面而言则益处不大。对流动监护病房有效性的任何判断都必须采用这两种方法以获得全面的看法。
