B. Benjamin Saketkhou, MD; Frank J. Conte, MD; Maryanne Noris, MD; Peter Tilkemeier, MD; Gregory Miller, MD; Daniel E. Forman, MD; Lauralyn Cannistra, MD; Jeffrey Leavitt, MD; Satish C. Sharma, MD; Carol Garber, PhD; Alfred F. Parisi, MD
Saketkhou BB, Conte FJ, Noris M, Tilkemeier P, Miller G, Forman DE, et al. Emergency Department Use of Aspirin in Patients with Possible Acute Myocardial Infarction. Ann Intern Med. 1997;127:126-129. doi: 10.7326/0003-4819-127-2-199707150-00005
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Published: Ann Intern Med. 1997;127(2):126-129.
Efforts have been made to improve the suboptimal use of aspirin after hospitalization.
To assess the frequency and timing of aspirin administration in emergency department patients with possible myocardial infarction.
Retrospective record review.
Emergency departments of four hospitals affiliated with the same university.
All patients who were admitted to the four hospitals in 1994 for evaluation and treatment of suspected acute myocardial infarction.
The frequency and timing of aspirin administration and the definitive diagnosis established before discharge from the hospital.
Aspirin was not given to 253 of 463 emergency department patients (55%) who had a definitive diagnosis of acute myocardial infarction. Seventy-eight percent of patients who did receive aspirin received it more than 30 minutes after arrival in the emergency department.
Aspirin therapy is underutilized as the first intervention in patients who are admitted with suspected myocardial infarction.
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Cardiology, Emergency Medicine, Acute Coronary Syndromes, Coronary Heart Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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