Association of ambulance response time and major adverse cardiac events in acute coronary syndrome

Background: A common tenet in emergency medical service is that a faster response time equates to a better outcome in patients with acute coronary syndrome (ACS). We explored the association between ambulance response time (ART) and major adverse cardiac events (MACE) in patients diagnosed of ACS...

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Main Author:	Shen, Jeremiah Ding Deck
Format:	Thesis
Language:	English
Published:	2018
Subjects:	RA Public aspects of medicine
Online Access:	http://eprints.usm.my/45998/1/Dr.%20Jeremiah%20Ding%20Deck%20Shen-24%20page.pdf
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id	my-usm-ep.45998
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spelling	my-usm-ep.459982020-01-28T01:59:09Z Association of ambulance response time and major adverse cardiac events in acute coronary syndrome 2018 Shen, Jeremiah Ding Deck RA Public aspects of medicine Background: A common tenet in emergency medical service is that a faster response time equates to a better outcome in patients with acute coronary syndrome (ACS). We explored the association between ambulance response time (ART) and major adverse cardiac events (MACE) in patients diagnosed of ACS in Malaysia. Methods: This study was a retrospective cohort analysis conducted from 2014 until 2016 involving two emergency medical services (EMS) in Malaysia. Adult patients diagnosed with ACS and utilized the EMS to come to hospital were followed up to assess MACE within 30 and 90 days from the primary event. Multivariable logistic regression analysis was performed to evaluate the interaction between ART and MACE. Results: One hundred patients with an average age of 59.7 (SD=12.7) years old were included in the analysis. The average ART was 21.7 (SD=10.4) minutes. 29 patients developed MACE at 30 days and 40 patients developed MACE at 90 days post ACS. No significant association was found between ART and occurrence of MACE 30 and 90 days post ACS (OR= 0.99; 95% CI: 0.95, 1.03; P=0.679 and OR=0.98; 95% CI: 0.95, 1.02; P=0.446 respectively). Conclusion: ART was not significantly associated with MACE after both 30 and 90 days onset of ACS. This underscores the need for not driving ambulances with high speeds when responding to ACS cases. 2018 Thesis http://eprints.usm.my/45998/ http://eprints.usm.my/45998/1/Dr.%20Jeremiah%20Ding%20Deck%20Shen-24%20page.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Shen, Jeremiah Ding Deck Association of ambulance response time and major adverse cardiac events in acute coronary syndrome
description	Background: A common tenet in emergency medical service is that a faster response time equates to a better outcome in patients with acute coronary syndrome (ACS). We explored the association between ambulance response time (ART) and major adverse cardiac events (MACE) in patients diagnosed of ACS in Malaysia. Methods: This study was a retrospective cohort analysis conducted from 2014 until 2016 involving two emergency medical services (EMS) in Malaysia. Adult patients diagnosed with ACS and utilized the EMS to come to hospital were followed up to assess MACE within 30 and 90 days from the primary event. Multivariable logistic regression analysis was performed to evaluate the interaction between ART and MACE. Results: One hundred patients with an average age of 59.7 (SD=12.7) years old were included in the analysis. The average ART was 21.7 (SD=10.4) minutes. 29 patients developed MACE at 30 days and 40 patients developed MACE at 90 days post ACS. No significant association was found between ART and occurrence of MACE 30 and 90 days post ACS (OR= 0.99; 95% CI: 0.95, 1.03; P=0.679 and OR=0.98; 95% CI: 0.95, 1.02; P=0.446 respectively). Conclusion: ART was not significantly associated with MACE after both 30 and 90 days onset of ACS. This underscores the need for not driving ambulances with high speeds when responding to ACS cases.
format	Thesis
qualification_level	Master's degree
author	Shen, Jeremiah Ding Deck
author_facet	Shen, Jeremiah Ding Deck
author_sort	Shen, Jeremiah Ding Deck
title	Association of ambulance response time and major adverse cardiac events in acute coronary syndrome
title_short	Association of ambulance response time and major adverse cardiac events in acute coronary syndrome
title_full	Association of ambulance response time and major adverse cardiac events in acute coronary syndrome
title_fullStr	Association of ambulance response time and major adverse cardiac events in acute coronary syndrome
title_full_unstemmed	Association of ambulance response time and major adverse cardiac events in acute coronary syndrome
title_sort	association of ambulance response time and major adverse cardiac events in acute coronary syndrome
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/45998/1/Dr.%20Jeremiah%20Ding%20Deck%20Shen-24%20page.pdf
_version_	1747821593342509056

Association of ambulance response time and major adverse cardiac events in acute coronary syndrome

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