Jelinek V M, Ziffer R W, McDonald I G, Hale G S
Aust N Z J Med. 1980 Apr;10(2):171-5. doi: 10.1111/j.1445-5994.1980.tb03707.x.
One-hundred-and-twenty-four (19%) of patients with acute myocardial infarction seen in a three year period from 1975 to 1978 were considered low risk patients suitable for rapid mobilisation, early discharge, and early exercise testing. Their mean long term Norris Prognostic Index was 3.2; the mean date of discharge was 9.6 days, and the mean date of exercise testing was 10.5 days. There were seven deaths and nine non-fatal recurrent myocardial infarctions in a mean follow up time of 14.2 months. These events were best predicted by a history of angina prior to myocardial infarction or radiological cardiomegaly detected in the CCU. Altogether 98 (80%) of the patients returned to work at a median time of six weeks after their infarct. The nett effect of the team activity has been to reduce the need for referral to the National Heart Foundation Assessment Centre from an average of 15 patients per year to an average of two per year.
在1975年至1978年的三年期间,因急性心肌梗死前来就诊的患者中有124例(占19%)被视为低风险患者,适合快速活动、提前出院和早期运动测试。他们的平均长期诺里斯预后指数为3.2;平均出院日期为9.6天,平均运动测试日期为10.5天。在平均14.2个月的随访时间里,有7例死亡和9例非致命性复发性心肌梗死。心肌梗死前有胸痛病史或在冠心病监护病房检测到心脏放射性增大最能预测这些事件。共有98例(占80%)患者在梗死发作后中位时间六周时重返工作岗位。团队活动的最终效果是将每年转介至国家心脏基金会评估中心的患者平均人数从15例减少至平均每年2例。