WFRF:(Kurland L)
Sökning: WFRF:(Kurland L) > (2010-2019) > The proportion of S...
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04443naa a2200373 4500 | |
| 001 | oai:DiVA.org:oru-64444 | |
| 003 | SwePub | |
| 008 | 180123s2018 | |||||||||||000 ||eng| | |
| 009 | oai:prod.swepub.kib.ki.se:137911856 | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-644442 URI |
| 024 | 7 | a https://doi.org/10.5830/CVJA-2018-0042 DOI |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1379118562 URI |
| 040 | a (SwePub)orud (SwePub)ki | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Stassen, W.u Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden; Division of Emergency Medicine, Stellenbosch University, Stellenbosch, South Africa4 aut |
| 245 | 1 0 | a The proportion of South Africans living within 60 and 120 minutes for a percutaneous coronary intervention facility |
| 264 | 1 | a Durbanville, South Africa :b Clinics-Cardive Publishing Co.c 2018 |
| 338 | a print2 rdacarrier | |
| 520 | a INTRODUCTION: Timely reperfusion, preferably via percutaneous coronary intervention (PCI) following myocardial infarction, improves mortality rates. Emergency medical services play a pivotal role in recognising and transporting patients with ST-elevation myocardial infarction directly to a PCI facility to avoid delays to reperfusion. Access to PCI is, in part, dependant on the geographic distribution of patients around PCI facilities. The aim of this study was to determine the proportion of South Africans living within 60 and 120 minutes of a PCI facility.METHODS: PCI facility and population data were subjected to proximity analysis to determine the average drive times from municipal ward centroids to PCI facilities for each province in South Africa. Thereafter, the population of each ward living within 60 and 120 minutes of a PCI facility was extrapolated.RESULTS: Approximately 53.8 and 71.53% of the South African population live within 60 and 120 minutes of a PCI facility. The median (IQR, range) drive times and distances to a PCI facility are 100 minutes (120.4 min, 0.7-751.8) across 123.6 km (157.6 km, 0.3-940.8).CONCLUSION: Based on the proximity of South Africans to PCI facilities, it seems possible that most patients could receive timely PCI within 120 minutes of first medical contact. However, this may be unlikely for some due to a lack of medical insurance, under-developed referral networks or other system delays. Coronary care networks should be developed based on the proximity of communities to 12-lead ECG and reperfusion therapies (such as PCI facilities). Public and private healthcare partnerships should be fortified to allow for patients without medical insurance to have equal accesses to PCI facilities. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
| 653 | a myocardial infarction; healthcare disparities; percutaneous coronary intervention; South Africa | |
| 700 | 1 | a Wallis, L.A.u Division of Emergency Medicine, Stellenbosch University, Stellenbosch, South Africa4 aut |
| 700 | 1 | a Vincent-Lambert, C.u Department of Emergency Medical Care, University of Johannesburg, Johannesburg, South Africa4 aut |
| 700 | 1 | a Castren, M.u Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden; Department of Emergency Medicine and Services, Helsinki University, Helsinki, Finland4 aut |
| 700 | 1 | a Kurland, Lisa,d 1960-u Örebro universitet,Institutionen för medicinska vetenskaper,Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden4 aut0 (Swepub:oru)lkd |
| 710 | 2 | a Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden; Division of Emergency Medicine, Stellenbosch University, Stellenbosch, South Africab Division of Emergency Medicine, Stellenbosch University, Stellenbosch, South Africa4 org |
| 773 | 0 | t Cardiovascular Journal of Africad Durbanville, South Africa : Clinics-Cardive Publishing Co.g 29:1, s. 6-11q 29:1<6-11x 1995-1892x 1680-0745 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-64444 |
| 856 | 4 8 | u https://doi.org/10.5830/CVJA-2018-004 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:137911856 |
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