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eICU Reduces Mortality in STEMI Patients in Resource-Limited Areas

Authors
  • Shamit Gupta
  • Sandeep Dewan
  • Anjali Kaushal
  • Ashok Seth
  • Jagat Narula
  • Amit Varma

Abstract

Highlights
  • Timely healthcare access poses a formidable challenge in the semiurban and rural areas of the developing world. This is particularly noticeable in emergency situations such as ST-segment elevation myocardial infarction (STEMI).
  • We explored whether a remotely monitored intensive care unit (electronic ICU [eICU]) would bridge this demand-supply gap.
  • To evaluate the efficacy of an eICU model of service and intervention for the early diagnosis of STEMI and prompt initiation of thrombolytic therapy, mortality during 12-month eICU period was compared with the mortality in the same period preceding the eICU establishment.
  • Not only initiation of thrombolytic treatment was supported remotely by eICU, but the door-to-needle time in STEMI was reduced by 85% to 26.23 min, resulting in a substantial 70% mortality benefit.
Year: 2014
Volume: 9 Issue: 4
Page/Article: 425-427
DOI: 10.1016/j.gheart.2014.07.006
Published on Dec 1, 2014
CC BY 4.0