News and Novel Programs
eICU Reduces Mortality in STEMI Patients in Resource-Limited Areas
Authors:
Shamit Gupta ,
Department of Critical Care Medicine, Fortis Escorts Heart Institute, New Delhi, IN
Sandeep Dewan,
Department of Critical Care Medicine, Fortis Memorial Research Institute, Gurgaon, IN
Anjali Kaushal,
Department of Critical Care Medicine, Fortis Escorts Heart Institute, New Delhi, IN
Ashok Seth,
Department of Cardiovascular Medicine, Fortis Escorts Heart Institute, New Delhi, IN
Jagat Narula,
Michael and Zena Weiner Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, US
Amit Varma
Department of Critical Care Medicine, Fortis Escorts Heart Institute, New Delhi, IN
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.
How to Cite:
Gupta S, Dewan S, Kaushal A, Seth A, Narula J, Varma A. eICU Reduces Mortality in STEMI Patients in Resource-Limited Areas. Global Heart. 2014;9(4):425–7. DOI: http://doi.org/10.1016/j.gheart.2014.07.006
Published on
01 Dec 2014.
Downloads
