Evidence map›Paper›PMID 30245595›Full record

ArticlePoint of care2018

Point-of-Care Diagnosis of Acute Myocardial Infarction in Central Vietnam: International Exchange, Needs Assessment, and Spatial Care Paths.

Gerald J Kost, Amanullah Zadran, Thuan T B Duong, Tung T Pham, An V D Ho, Nhan V Nguyen, Irene J Ventura, Layma Zadran, Mykhaylo V Sayenko, Kelly Nguyen

Abstract read
In one paragraph

Article in Point of care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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  5. Review
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

10 authors.

Gerald J KostSchool of Medicine, University of California, Davis; and.
Amanullah ZadranSchool of Medicine, University of California, Davis; and.
Thuan T B DuongHue University of Medicine and Pharmacy, University of Hue, Vietnam.
Tung T PhamHue University of Medicine and Pharmacy, University of Hue, Vietnam.
An V D HoHue University of Medicine and Pharmacy, University of Hue, Vietnam.
Nhan V NguyenHue University of Medicine and Pharmacy, University of Hue, Vietnam.
Irene J VenturaPoint-of-Care Testing Center for Teaching and Research (POCT•CTR) and.
Layma ZadranPoint-of-Care Testing Center for Teaching and Research (POCT•CTR) and.
Mykhaylo V SayenkoPoint-of-Care Testing Center for Teaching and Research (POCT•CTR) and.
Kelly NguyenPoint-of-Care Testing Center for Teaching and Research (POCT•CTR) and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesObjectives were to (

methodsWe organized progressively focused, intensive, and interactive lectures, workshops, and investigative teamwork over a 2-year period. We surveyed hospital staff in person to determine the status of diagnostic testing at 15 hospitals in 7 districts. Questions focused on cardiac rapid response, prediabetes/diabetes, infectious diseases, and other serious challenges, including epidemic preparedness.

resultsEducational exchange revealed a nationwide shortage of POC coordinators. Throughout the province, ambulances transfer patients primarily between hospitals, rarely picking up from homes. No helicopter rescue was available. Ambulance travel times from distant sites to referral hospitals were excessive, longer in costal and mountainous areas. Most hospitals (92.3%) used electrocardiogram and creatine phosphokinase-MB isoenzyme to diagnose AMI. Cardiac troponin I/T testing was performed only at large referral hospitals.

conclusionsCentral Vietnam must improve rapid diagnosis and treatment of AMI patients. Early upstream POC cardiac troponin testing on Spatial Care Paths will expedite transfers directly to hospitals capable of intervening, improving outcomes following coronary occlusion. Point-of-care coordinator certification and financial support will enhance standards of care cost-effectively. Training young physicians pivots on high-value evidence-based learning when POC cardiac troponin T/cardiac troponin I biomarkers are in place for rapid decision making, especially in emergency rooms.

Indexed as

acute coronary syndrome (ACS)ambulancecardiac troponin (cTn) I and Tdistrict hospitalsevidence-based medicine (EBM)geographic information systemshospital levelsHue University of Medicine and Pharmacy (HUMP)needs assessmentpoint-of-care (POC) cultureprehospital diagnosisprimary caresmall-world networks (SWNs)Thua Thien Hue Province (TTHP)value proposition

Identifiers

PMID30245595
PMCPMC6135481

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.