Paramedic-Delivered Fibrinolysis in the Treatment of STEMI: Comparison of a Physician-Assisted Versus Autonomous Paramedic Approach.

Not Applicable

Completed

• Conditions: ST-elevation myocardial infarction; Cardiovascular - Coronary heart disease; Public Health - Health service research

• Registration Number: ACTRN12614000393651
• Lead Sponsor: Auckland University of Technology (AUT)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-04-10
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 108

Inclusion Criteria

a) The retrospective cohort (n = 54) will include patients at/or greater than 18 years of age who have received paramedic-delivered PHT under physician authorisation in the Northland and Hawkes Bay regions since this historic PHT model was established in 2008.

b) The prospective cohort (n = 54) will include; patients at/or greater than 18 years of age who receive autonomous paramedic-delivered PHT; or those who have been considered for the treatment over a 20 month period; in the Northland and Hawkes Bay regions; and in line with protocol criteria. In addition, during this 20-month prospective period, the study will also investigate all patients at/or greater than 18 years of age transported by paramedics without PHT treatment in the same regions, but who went on to receive in-hospital thrombolysis following an in-hospital diagnosis of STEMI.

Exclusion Criteria

Key patient exclusion criteria is essentially those that do not meet our inclusion criteria for either the historic or prospective cohort.

Study & Design

• Study Type: Interventional
• Study Design: Not specified