McGee H M, O'Callaghan D, MacGowan G A, Horgan H J
Department of Cardiology, Beaumont Hospital, Dublin.
Ir Med J. 1994 Nov-Dec;87(6):187, 168.
Irish data from the ISIS-2 multi-centre study of thrombolytic therapy has indicated longer delays to treatment for acute myocardial infarction (AMI) than in other countries (7.9 vs 6.9 hours, p < 0.001). Further examination of this database (n = 831 patients) found no influence of age and sex of patient on delay times. Distance from hospital was not associated with delay while previous experience of MI was marginally associated with decreased delay (previous MI: 7.1 vs no previous MI: 8 hours, p = 0.06). These relatively lengthy Irish delays require further investigation to inform management strategies aimed at reducing delay.
来自ISIS-2多中心溶栓治疗研究的爱尔兰数据表明,与其他国家相比,急性心肌梗死(AMI)患者的治疗延迟时间更长(7.9小时对6.9小时,p<0.001)。对该数据库(n=831例患者)的进一步研究发现,患者的年龄和性别对延迟时间没有影响。与医院的距离与延迟无关,而既往心肌梗死病史与延迟时间的缩短略有关联(既往有心肌梗死:7.1小时对无既往心肌梗死:8小时,p=0.06)。爱尔兰相对较长的延迟时间需要进一步调查,以为旨在减少延迟的管理策略提供依据。