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The application of optimisation modelling and geospatial analysis to propose a coronary care network model for patients with ST-elevation myocardial infarction
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- Stassen, Willem (author)
- Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa; Department of Clinical Research and Education, Karolinska Institutet, Stockholm, Sweden
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- Olsson, Leif, Docent, 1969- (author)
- Mittuniversitetet,Institutionen för informationssystem och –teknologi,FODI ; RCR,Department of Information Systems and Technology, Mid Sweden University, Sundsvall, Sweden
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- Kurland, Lisa, 1960- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Clinical Research and Education, Karolinska Institutet, Stockholm, Sweden; Department of Emergency Medicine, Örebro University Hospital, Örebro, Sweden,Department of Medical Sciences, Örebro University, Örebro, Sweden; Department of Emergency Medicine, Örebro University Hospital, Örebro, Swede
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- English.
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In: African Journal of Emergency Medicine. - : Elsevier BV. - 2211-419X. ; 10:Suppl 1, s. S18-S22
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Abstract
Subject headings
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- BackgroundThe incidence of myocardial infarction is increasing in South Africa. Prompt treatment is indicated to reduce mortality. One way of expediting treatment is to set up regional referral recommendations that can guide prehospital providers on the best reperfusion strategy for a particular patient. A coronary care network model for patients who present with ST-elevation myocardial infarction is proposed, using the North West province, of South Africa as a case study.MethodsGeospatial analysis with network optimisation modelling was applied, to determine which strategy (prehospital thrombolysis, in-hospital thrombolysis or percutaneous coronary intervention) was most appropriate for patients presenting within each of the municipal wards of the North West province.ResultsAn efficient and swift recommendation for the optimal reperfusion strategy is obtained using the current model, even in the instance of a large amount of ward data with additional constraints. For most municipal wards (204, 53%) percutaneous coronary intervention is the preferred reperfusion strategy based on proximity. For the remainder of the wards prehospital (138, 36%) or in-hospital (44, 11%) thrombolysis is recommended.ConclusionA scalable and efficient method of determining the optimal reperfusion strategy for a patient presenting with ST-elevation myocardial infarction in the North West province, is presented. This approach can serve as a model which can be applied to other settings and can form the basis of regional coronary care network development priorities and resource allocations.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Emergency care system
- Myocardial infarction
- Prehospital cardiac care
Publication and Content Type
- ref (subject category)
- art (subject category)
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