Comparison of the outcomes of EMS vs. Non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in Southern Iran: a population-based study
Dublin Core
Title
Comparison of the outcomes of EMS vs. Non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in Southern Iran: a population-based study
Subject
Myocardial infarction, Emergency medical services, Pre-hospital transport, Out-of-hospital acute care
Description
Background: In the medical management of acute myocardial infarction, the transport of patients and primary
care provided by emergency medical technicians (EMTs) and paramedics are efective in reducing the mortality and
disabilities. Therefore, the present study aimed to compare the outcomes of emergency medical services (EMS) vs.
non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in southern Iran.
Methods: This is an analytical, cross-sectional study. The study population consisted of the individuals registered in
Fasa Registry on Acute Myocardial Infarction (FaRMI) in the south of Iran. 2244 patients with STEMI were included in
the study. Statistical analyses were performed using Chi-Square test and independent t-test at a signifcance level of
P<0.05 in SPSS 22.
Results: Out of the 2244 patients with STEMI, 1552 (69.16%) were male and 672 patients (29.94%) were female.
934(41.62%) patients used EMS transport to the hospital, while 1310 (58.37%) patients used non-EMS transport to
the hospital. A total of 169 patients with STEMI (7.26%) expired (out-of-hospital cardiac arrest); of them, 113 (66.86%)
patients did not use EMS transport to the hospital. Successful cardiopulmonary resuscitation (CPR) was performed on
52 patients who used EMS transport. 27 patients also received an efective DC shock due to ventricular fbrillation (VF).
Of the total number of patients, 49 had a stroke; among them, 37(75.51%) patients did not use EMS transport.
Conclusion: In the present study, the death rate in patients with acute myocardial infarction who used EMS transport was lower than those who used non-EMS transport. The health system managers and policymakers in the healthcare systems are recommended to take the necessary measures to increase public health awareness and knowledge
about the use of EMS and consequently reduce the death rate and complications of acute myocardial infarction.
care provided by emergency medical technicians (EMTs) and paramedics are efective in reducing the mortality and
disabilities. Therefore, the present study aimed to compare the outcomes of emergency medical services (EMS) vs.
non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in southern Iran.
Methods: This is an analytical, cross-sectional study. The study population consisted of the individuals registered in
Fasa Registry on Acute Myocardial Infarction (FaRMI) in the south of Iran. 2244 patients with STEMI were included in
the study. Statistical analyses were performed using Chi-Square test and independent t-test at a signifcance level of
P<0.05 in SPSS 22.
Results: Out of the 2244 patients with STEMI, 1552 (69.16%) were male and 672 patients (29.94%) were female.
934(41.62%) patients used EMS transport to the hospital, while 1310 (58.37%) patients used non-EMS transport to
the hospital. A total of 169 patients with STEMI (7.26%) expired (out-of-hospital cardiac arrest); of them, 113 (66.86%)
patients did not use EMS transport to the hospital. Successful cardiopulmonary resuscitation (CPR) was performed on
52 patients who used EMS transport. 27 patients also received an efective DC shock due to ventricular fbrillation (VF).
Of the total number of patients, 49 had a stroke; among them, 37(75.51%) patients did not use EMS transport.
Conclusion: In the present study, the death rate in patients with acute myocardial infarction who used EMS transport was lower than those who used non-EMS transport. The health system managers and policymakers in the healthcare systems are recommended to take the necessary measures to increase public health awareness and knowledge
about the use of EMS and consequently reduce the death rate and complications of acute myocardial infarction.
Creator
Hjatolah Najaf, Ehsan Bahramali, Mostafa Bijani, Azizallah Dehghan, Mehdi Amirkhani and Maryam Balaghi inaloo
Publisher
BMC Emergency Medicine
Date
(2022) 22:46
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Hjatolah Najaf, Ehsan Bahramali, Mostafa Bijani, Azizallah Dehghan, Mehdi Amirkhani and Maryam Balaghi inaloo, “Comparison of the outcomes of EMS vs. Non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in Southern Iran: a population-based study,” Repository Horizon University Indonesia, accessed March 12, 2025, https://repository.horizon.ac.id/items/show/3940.