Literature DB >> 76794

A randomised trial of home-versus-hospital management for patients with suspected myocardial infarction.

J D Hill, J R Hampton, J R Mitchell.   

Abstract

Home and hospital management of patients with suspected myocardial infarction were compared in a randomised trial in which a hospital-based team responded to calls from general practitioners. 500 calls were received, and 349 patients (70%) were suspected of having myocardial infarction. Of these, 24% were excluded from the trial on predetermined medical and social grounds; for the remainder (76%) there was no significant difference in the 6-week mortality between the home group (13%) and the hospital group (11%). For the majority of patients to whom a general practitioner is called because of suspected infarction, hospital admission confers no clear advantage.

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Year:  1978        PMID: 76794     DOI: 10.1016/s0140-6736(78)90190-3

Source DB:  PubMed          Journal:  Lancet        ISSN: 0140-6736            Impact factor:   79.321


  39 in total

1.  A Marxian interpretation of the growth and development of coronary care technology.

Authors:  H Waitzkin
Journal:  Am J Public Health       Date:  1979-12       Impact factor: 9.308

2.  The rural physician and myocardial infarction: part 1: pre-hospital management.

Authors:  D P Black
Journal:  Can Fam Physician       Date:  1984-11       Impact factor: 3.275

3.  Reducing unnecessary coronary care unit admissions: a comparison of three decision aids.

Authors:  G Davison; A L Suchman; B J Goldstein
Journal:  J Gen Intern Med       Date:  1990 Nov-Dec       Impact factor: 5.128

4.  Hearts too good to die: an evaluation of coronary care.

Authors:  A S Dixon
Journal:  Can Fam Physician       Date:  1984-11       Impact factor: 3.275

5.  How common are ventricular arrhythmias in patients admitted to CCU with chest pain and a non-ischaemic ECG? A pilot study.

Authors:  Anne-Maree Kelly; Sharon Klim
Journal:  Heart Asia       Date:  2011-01-01

6.  'Ruling out' myocardial infarction in the coronary care unit.

Authors:  G H Murata
Journal:  West J Med       Date:  1988-05

7.  A trial of prophylactic mexiletine in home coronary care.

Authors:  J A Bell; J M Thomas; J R Isaacson; N J Snell; D W Holt
Journal:  Br Heart J       Date:  1982-09

8.  Improved prognosis since 1969 of myocardial infarction treated in a coronary care unit: lack of relation with changes in severity.

Authors:  J L Hopper; B Pathik; D Hunt; W W Chan
Journal:  BMJ       Date:  1989-10-07

9.  Diagnosis of acute myocardial infarction in the emergency room: a prospective assessment of clinical decision making and the usefulness of immediate cardiac enzyme determination.

Authors:  J M Eisenberg; L N Horowitz; R Busch; D Arvan; H Rawnsley
Journal:  J Community Health       Date:  1979

10.  Lengths of stay of patients with uncomplicated acute myocardial infarction at three Boston hospitals: impact of pre-discharge tactics.

Authors:  T H Lee; L K Gottlieb; L J Weitzman; A G Mulley; S G Pauker; B J McNeil
Journal:  J Gen Intern Med       Date:  1988 May-Jun       Impact factor: 5.128

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