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Biomedical subjects

J M Carpintero Escudero

Publications and source records attributed to J M Carpintero Escudero.

4 recordsLinked to original sources
PubMed1998

[Exclusion causes to thrombolytic treatment in myocardial infarction].

BACKGROUND: Only one third of patients who have suffered a myocardial infarction can benefit from thrombolytic treatment in the daily clinic practice. The aim of this study is to know the percentage of patients who were treated in a General Hospital and the main exclusion causes to receive thrombolytic treatment. METHODS: A descriptive study in patients with infarction who were admitted to the Critical Care Unit of a 550 beds Hospital between September-95 and August-96. RESULTS: 188 patients were admitted with suspicion of myocardial infarction. The 50.53% of them received thrombolytic treatment. The main exclusion causes to receive this treatment were: delay of the patient (18.10%), normal ECG or descended ST (16.50%), contraindications (8%), patient's refusal to receive treatment (0.53%) an uncertain indication of therapy (6.40%). CONCLUSIONS: A high percentage of patients received thrombolytic therapy, maybe because these drugs can be used until 12 hours the infarction and they haven't limit of age.

Aged↗
PubMed1997

[Delayed thrombolytic administration in myocardial infarction;].

BACKGROUND: The aim of the study is to know whether the patients with acute myocardial infarction (AMI) who consulted an extrahospitalary physician before the hospital arrival delayed their admission to the critical care unit (CCU), and whether their probability to receive early thrombolytic therapy was smaller than that of the patients who cam directly to hospital. PATIENTS AND METHODS: A descriptive study in patients with AMI was performed during 1995. The following variables were studied: age, sex, town of residence, previous AMI, consultation to an extrahospitalary physician, delay time in the admission to the CCU, and whether thrombolytic treatment was performed. Comparison of proportions, Student-Fisher t-test, or Mann-Whitney U-test were used, according to the case. A multiple logistic regression was used to study the independent effect of the previous consult to an extrahospitalary physician on the chance for early thrombolytic treatment. RESULTS: A hundred and eighteen patients (79.7% males) were studied. The mean age was 63 years-old. Nine point five per cent of the patients had suffered a previous AMI and 54.2% received thrombolytic treatment. Delay to hospital arrival was the main exclusion reason to receive this treatment. The mean age of patients who consulted an extrahospitalary physician (n = 69) was 5 years older, their hospital arrival were 100 min later (difference of medians) (p < 0.001), were admitted to the CCU 124 min later (p < 0.02) and ran a higher risk to arrive to CCU after 3 hours from the onset of symptoms (odds ratio [OR]: 3.3; confidence interval [IC] 95%: 1.2 to 9.2) than those who cam directly to hospital. CONCLUSIONS: The patients with AMI who consult an extrahospitalary physician delay their admission to the CCU and have a less chance to receive early thrombolytic therapy in the first 3 hours of evolution.

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PubMed1996

[Cardiopulmonary resuscitation in a general hospital].

The study presents a plan that is based on transferring the survival chain philosophy in hospital environments that directs the modern cardiopulmonary revival (CPR). The plan is based on an alarm system, starting the basic CPR by the nurse that identifies the sudden death, the fast arrival of the intensive care doctor, a nurse supervisor (who carries the defibrillator monitor to the scene) and the doctor responsible for the patient. During the first two years of performance (June 1993 to June 1995) 99 cases occurred with 73 confirmed stoppages. In 95% of the cases the alarm was tended in less than 5 minutes. Twenty one patients (33%) recovered their pulse and seven (11%) were sent home with a good brain recovery. The authors believe that appliances like the one introduced are useful in order to achieve efficient results in the CPR within the hospital.

Brain Damage, Chronic↗