Time interval from symptom onset to hospital care in patients with acute heart failure: A report from the Tokyo cardiac care unit network emergency medical service database

Scientific Committee of Tokyo CCU Network

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims: There seems to be two distinct patterns in the presentation of acute heart failure (AHF) patients; early - vs. gradual-onset. However, whether time-dependent relationship exists in outcomes of patients with AHF remains unclear. Methods: The Tokyo Cardiac Care Unit Network Database prospectively collects information of emergency admissions via EMS service to acute cardiac care facilities from 67 participating hospitals in the Tokyo metropolitan area. Between 2009 and 2011, a total of 3811 AHF patients were registered. The documentation of symptom onset time was mandated by the on-site ambulance team. We divided the patients into two groups according to the median onset-to-hospitalization (OH) time for those patients (2h); early- (presenting 2h). The primary outcome was in-hospital mortality. Results: The early OH group had more urgent presentation, as demonstrated by a higher systolic blood pressure (SBP), respiratory rate, and higher incidence of pulmonary congestion (48.6% vs. 41.6%; P

Original languageEnglish
Article numbere0142017
JournalPLoS One
Volume10
Issue number11
DOIs
Publication statusPublished - 2015 Nov 1

Fingerprint

patient care
Tokyo
Emergency Medical Services
heart failure
signs and symptoms (animals and humans)
Patient Care
Heart Failure
Databases
Ambulances
Cardiac Care Facilities
Blood pressure
Hospitalization Insurance
systolic blood pressure
Respiratory Rate
Hospital Mortality
respiratory rate
Documentation
Hospitalization
Emergencies
lungs

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Time interval from symptom onset to hospital care in patients with acute heart failure : A report from the Tokyo cardiac care unit network emergency medical service database. / Scientific Committee of Tokyo CCU Network.

In: PLoS One, Vol. 10, No. 11, e0142017, 01.11.2015.

Research output: Contribution to journalArticle

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AU - Koyama, Nobuya

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