Harry P. Selker, MD, MSPH; Christopher H. Schmid, PhD; John L. Griffith, PhD
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Selker H., Schmid C., Griffith J.; Thrombolytic Predictive Instrument. Ann Intern Med. 1999;131:791-792. doi: 10.7326/0003-4819-131-10-199911160-00021
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Published: Ann Intern Med. 1999;131(10):791-792.
TO THE EDITOR:
As described in an earlier issue of Annals of Internal Medicine(1), when programmed into a conventional electrocardiograph, the thrombolytic predictive instrument (TPI) provides the emergency physician with predicted probabilities of key outcomes for a patient with acute myocardial infarction: 30-day mortality, 1-year mortality, and cardiac arrest within 48 hours if the patient is given or not given thrombolytic therapy and intracranial hemorrhage or other major (transfusion-requiring) bleeding if thrombolytic therapy is used. We would like to bring attention to how one variable in one of the TPI's five component predictive instruments should be altered in its use to reflect a recent change in practice.
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