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Ducas RA, Labos C, Allen D, et al. Association of Pre-hospital ECG Administration With Clinical Outcomes in ST-Segment Myocardial Infarction: A Systematic Review and Meta-analysis. Can J Cardiol. 2016;32(12):1531-1541doi: 10.1016/j.cjca.2016.06.004.
Ducas, R. A., Labos, C., Allen, D., Golian, M., Jeyaraman, M., Lys, J., Mann, A., Copstein, L., Vokey, S., Rabbani, R., Zarychanski, R., Abou-Setta, A. M., & Menkis, A. H. (2016). Association of Pre-hospital ECG Administration With Clinical Outcomes in ST-Segment Myocardial Infarction: A Systematic Review and Meta-analysis. The Canadian journal of cardiology, 32(12), 1531-1541. https://doi.org/10.1016/j.cjca.2016.06.004
Ducas, Robin A, et al. "Association of Pre-hospital ECG Administration With Clinical Outcomes in ST-Segment Myocardial Infarction: A Systematic Review and Meta-analysis." The Canadian journal of cardiology vol. 32,12 (2016): 1531-1541. doi: https://doi.org/10.1016/j.cjca.2016.06.004
Ducas RA, Labos C, Allen D, Golian M, Jeyaraman M, Lys J, Mann A, Copstein L, Vokey S, Rabbani R, Zarychanski R, Abou-Setta AM, Menkis AH. Association of Pre-hospital ECG Administration With Clinical Outcomes in ST-Segment Myocardial Infarction: A Systematic Review and Meta-analysis. Can J Cardiol. 2016 Dec;32(12):1531-1541. doi: 10.1016/j.cjca.2016.06.004. Epub 2016 Jun 14. PMID: 27707525.
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Can J Cardiol. 2016 Dec;32(12):1531-1541. doi: 10.1016/j.cjca.2016.06.004. Epub 2016 Jun 14.

Association of Pre-hospital ECG Administration With Clinical Outcomes in ST-Segment Myocardial Infarction: A Systematic Review and Meta-analysis.

The Canadian journal of cardiology

Robin A Ducas, Christopher Labos, David Allen, Mehrdad Golian, Maya Jeyaraman, Justin Lys, Amrinder Mann, Leslie Copstein, Sherri Vokey, Rasheda Rabbani, Ryan Zarychanski, Ahmed M Abou-Setta, Alan H Menkis

Affiliations

  1. University of Manitoba, Winnipeg, Manitoba, Canada; Peter Munk Cardiac Center, University of Toronto, Toronto, Ontario, Canada. Electronic address: [email protected].
  2. McGill University, Montreal, Quebec, Canada.
  3. University of Manitoba, Winnipeg, Manitoba, Canada.
  4. University of Manitoba, Winnipeg, Manitoba, Canada; George and Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, Manitoba, Canada.
  5. Neil John Maclean Health Science Library, University of Manitoba, Winnipeg, Manitoba, Canada.
  6. University of Manitoba, Winnipeg, Manitoba, Canada; George and Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Haematology and Medical Oncology, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
  7. University of Manitoba, Winnipeg, Manitoba, Canada; George and Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

PMID: 27707525 DOI: 10.1016/j.cjca.2016.06.004

Abstract

BACKGROUND: Delays in reperfusion for patients with myocardial ischemia leads to increased morbidity and mortality. The objective of this review was to identify, evaluate, and critically appraise the evidence on whether pre-hospital electrocardiography (ECG) reduces patient mortality and improves post-ST-segment myocardial infarction patient-oriented outcomes.

METHODS: We searched PubMed/MEDLINE, EMBASE, and Cochrane Library (1990-2015) for controlled clinical studies. We also searched conference proceedings, trial registries, and reference lists of narrative and systematic reviews. Two reviewers independently identified and extracted data from studies that compared pre-hospital ECG with standard of care in patients with suspected myocardial infarction who underwent primary percutaneous coronary intervention. Internal validity was assessed using the Newcastle-Ottawa scale.

RESULTS: We screened 21,197 citations and included 63 unique studies (plus 22 companion publications). Most studies were of moderate quality. Pre-hospital ECG was associated with significantly fewer deaths (relative risk, 0.68; 95% confidence interval [CI], 0.63-0.74; 45 studies; 71,315 patients; I

CONCLUSIONS: Use of pre-hospital ECG is associated with decreased mortality and overall better patient outcomes.

Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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