System of Care

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Alice K Jacobs - One of the best experts on this subject based on the ideXlab platform.

  • sex based differences in discharge disposition and outcomes for st segment elevation myocardial infarction patients within a regional network
    Journal of Womens Health, 2018
    Co-Authors: James R Langabeer, Timothy D Henry, Raymond L Fowler, Tiffany Champagnelangabeer, Alice K Jacobs
    Abstract:

    Abstract Background: It is known that women with ST-segment elevation myocardial infarction (STEMI) have higher mortality in comparison to men. While the reasons for this sex-based difference are not completely understood, biologic differences and disparities in Care have been implicated. Whether these differences persist within an urban, regional STEMI System of Care with defined protocols is unclear. Our objective was to explore sex-related effects in outcomes in a large regional System of Care. Materials and Methods: Data were drawn from a regional subset of the National Cardiovascular Data Registry for 33 hospitals in and around Dallas County, Texas from 2010 to 2015. We explored adjusted differences between women and men for discharge disposition, door to balloon (D2B), total ischemic time (TIS), length of stay, and in-hospital mortality rates. Results: Multivariate regressions to control for confounding factors, including age, D2B, and TIS, were significantly prolonged in women compared to men (D2B ...

  • time to treatment in patients with stemi
    The New England Journal of Medicine, 2013
    Co-Authors: Eric R Bates, Alice K Jacobs
    Abstract:

    The focus on door-to-balloon time has expedited arrival in the cardiac catheterization laboratory for patients with ST-segment elevation myocardial infarction. Now the main opportunity for improving outcomes lies in the prehospital System of Care, where challenges remain.

Timothy D Henry - One of the best experts on this subject based on the ideXlab platform.

  • sex based differences in discharge disposition and outcomes for st segment elevation myocardial infarction patients within a regional network
    Journal of Womens Health, 2018
    Co-Authors: James R Langabeer, Timothy D Henry, Raymond L Fowler, Tiffany Champagnelangabeer, Alice K Jacobs
    Abstract:

    Abstract Background: It is known that women with ST-segment elevation myocardial infarction (STEMI) have higher mortality in comparison to men. While the reasons for this sex-based difference are not completely understood, biologic differences and disparities in Care have been implicated. Whether these differences persist within an urban, regional STEMI System of Care with defined protocols is unclear. Our objective was to explore sex-related effects in outcomes in a large regional System of Care. Materials and Methods: Data were drawn from a regional subset of the National Cardiovascular Data Registry for 33 hospitals in and around Dallas County, Texas from 2010 to 2015. We explored adjusted differences between women and men for discharge disposition, door to balloon (D2B), total ischemic time (TIS), length of stay, and in-hospital mortality rates. Results: Multivariate regressions to control for confounding factors, including age, D2B, and TIS, were significantly prolonged in women compared to men (D2B ...

  • st segment elevation myocardial infarction recommendations on triage of patients to heart attack centers is it time for a national policy for the treatment of st segment elevation myocardial infarction
    Journal of the American College of Cardiology, 2006
    Co-Authors: Timothy D Henry, James M Atkins, Michael S Cunningham, Gary S Francis, William J Groh, Robert Hong, Karl B Kern, David M Larson, E M Ohman, Joseph P Ornato
    Abstract:

    Despite substantial progress in the diagnosis and treatment of acute ST-segment elevation myocardial infarction (STEMI), implementation of this knowledge into routine clinical practice has been variable. It has become increasing clear that primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion if it can be performed in a timely manner. Recent European data suggest that transfer for direct PCI may also be preferable to fibrinolytic therapy. We believe it is time to establish a national policy for treatment of patients with STEMI to develop a coordinated System of Care similar to that of the level 1 trauma System.

Joseph P Ornato - One of the best experts on this subject based on the ideXlab platform.

James R Langabeer - One of the best experts on this subject based on the ideXlab platform.

  • sex based differences in discharge disposition and outcomes for st segment elevation myocardial infarction patients within a regional network
    Journal of Womens Health, 2018
    Co-Authors: James R Langabeer, Timothy D Henry, Raymond L Fowler, Tiffany Champagnelangabeer, Alice K Jacobs
    Abstract:

    Abstract Background: It is known that women with ST-segment elevation myocardial infarction (STEMI) have higher mortality in comparison to men. While the reasons for this sex-based difference are not completely understood, biologic differences and disparities in Care have been implicated. Whether these differences persist within an urban, regional STEMI System of Care with defined protocols is unclear. Our objective was to explore sex-related effects in outcomes in a large regional System of Care. Materials and Methods: Data were drawn from a regional subset of the National Cardiovascular Data Registry for 33 hospitals in and around Dallas County, Texas from 2010 to 2015. We explored adjusted differences between women and men for discharge disposition, door to balloon (D2B), total ischemic time (TIS), length of stay, and in-hospital mortality rates. Results: Multivariate regressions to control for confounding factors, including age, D2B, and TIS, were significantly prolonged in women compared to men (D2B ...

David M Larson - One of the best experts on this subject based on the ideXlab platform.