[Delay in the administration of thrombolytics in myocardial infarct].
OBJECTIVE
To evaluate whether fast track of patients with myocardial infarction, from the emergency department to the intensive care unit, significantly decreased the intrahospital delay in the administration of anti-thrombolytic agents.


METHODS
Descriptive study performed in two phases (12 and 15 months, respectively) in a second-level hospital serving a community of 260,000 inhabitants (78,000 emergencies/year).


RESULTS
A total of 264 patients with myocardial infarction participated (79.2% males); the intrahospital delay in the administration of anti-thrombolytic agents was 206.1 minutes (SD: 115.8) in 1995, versus 74.9 minutes (SD: 38.5) during 1997-1998, already with the fast track system in operation (difference of 2 hours statistically significant [p < 0.001]). Only five patients received therapy before 30 minutes.


CONCLUSIONS
Although fast track at the intensive care unit notable decreased the delay in the administration of anti-thrombolytic agents, this delay is still excessive (over half and hour). Therefore, the authors propose the administration of the thrombolytic agents at the emergency department as additional strategy to reduce the delay.
Ochoa
F J
FJ
Servicio de Urgencias, Hospital San Millán-San Pedro, Logroño, La Rioja.
Ramalle-Gómara
E
E
Carpintero
J M
JM
D000368:Aged; D016009:Chi-Square Distribution; D004630:Emergencies; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D011446:Prospective Studies; D015912:Thrombolytic Therapy / Q000706:statistics & numerical data; D013997:Time Factors
D005343:Fibrinolytic Agents