Evidence map›Paper›PMID 16714504›Full record

ArticleEmergency medicine journal : EMJ2006

What percentages of patients are suitable for prehospital thrombolysis?

N Castle, R Owen, R Vincent, N Ineson

Abstract read
In one paragraph

Article in Emergency medicine journal : EMJ, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

N CastleEmergency Medical Care and Rescue, Durban Institute of Technology, Durban, South Africa. nicholas.castle@fph-tr.nhs.uk
R Owen
R Vincent
N Ineson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo apply the Joint Royal College Ambulance Liaison Committee (JRCALC) checklist to patients who were deemed eligible for thrombolytic therapy on arrival in an Accident & Emergency Department (A&E) to determine the proportion suitable for prehospital thrombolysis.

designRetrospective descriptive analysis.

methodsThe clinical notes of all patients thrombolysed in an A&E department in a year were reviewed against the JRCALC guidelines for prehospital thrombolysis.

results14.2% of patients eligible for thrombolysis in a district general hospital were deemed suitable for prehospital thrombolysis according to the JRCALC criteria. The most common exclusion criteria were hyper/hypotension (50%), onset of symptoms (pain) >6 h previously (41.7%), or age >75 years (37%). Two or more contraindications to prehospital thrombolysis were present in 63.9% of patients.

conclusionThe JRCALC guidelines are an effective tool for identifying patients with potential contraindications to thrombolysis.

Indexed as

Thrombolytic TherapyAdultAgedChest PainCoronary DiseaseEmergency Medical ServicesFemaleHumansMaleMiddle AgedPractice Guidelines as TopicRetrospective Studies

Identifiers

PMID16714504
PMCPMC2564339

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.