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Sökning: onr:"swepub:oai:DiVA.org:hb-1992" > DETermination of th...

DETermination of the role of OXygen in suspected Acute Myocardial Infarction trial

Hofmann, R (författare)
Karolinska Institutet
James, Stefan K. (författare)
Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
Svensson, L (författare)
Karolinska Institutet
visa fler...
Witt, N (författare)
Karolinska Institutet
Frick, M (författare)
Karolinska Institutet
Lindahl, Bertil (författare)
Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
Östlund, Ollie (författare)
Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)
Ekelund, Ulf (författare)
Lund University,Lunds universitet,Medicin, Lund,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medicine, Lund,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
Erlinge, David (författare)
Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
Herlitz, J (författare)
Högskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård
Jernberg, T (författare)
Karolinska Institutet
visa färre...
 (creator_code:org_t)
Mosby, Inc. 2014
2014
Engelska.
Ingår i: American Heart Journal. - : Mosby, Inc.. - 0002-8703 .- 1097-6744. ; 167:3, s. 322-328
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • BACKGROUND: The use of supplemental oxygen in the setting of suspected acute myocardial infarction (AMI) is recommended in international treatment guidelines and established in prehospital and hospital clinical routine throughout the world. However, to date there is no conclusive evidence from adequately designed and powered trials supporting this practice. Existing data are conflicting and fail to clarify the role of supplemental oxygen in AMI. METHODS: A total of 6,600 normoxemic (oxygen saturation [SpO2] ≥90%) patients with suspected AMI will be randomly assigned to either supplemental oxygen 6 L/min delivered by Oxymask (MedCore Sweden AB, Kista, Sweden) for 6 to 12 hours in the treatment group or room air in the control group. Patient inclusion and randomization will take place at first medical contact, either before hospital admission or at the emergency department. The Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies registry will be used for online randomization, allowing inclusion of a broad population of all-comers. Follow-up will be carried out in nationwide health registries and Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies. The primary objective is to evaluate whether oxygen reduces 1-year all-cause mortality. Secondary end points include 30-day mortality, major adverse cardiac events, and health economy. Prespecified subgroups include patients with confirmed AMI and certain risk groups. In a 3-month pilot study, the study concept was found to be safe and feasible. CONCLUSION: The need to clarify the uncertainty of the role of supplemental oxygen therapy in the setting of suspected AMI is urgent. The DETO2X-AMI trial is designed and powered to address this important issue and may have a direct impact on future recommendations.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Prehospital Akutsjukvård
Integrated Caring Science
Integrerad vårdutveckling

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