Floor To Admit To After Stemi

Stemi regional systems of care system wide.

Floor to admit to after stemi.

Shavadia md et al used acc s chest pain mi registry to examine patterns of icu use in stemi patients age 65 and older who had been treated with primary pci. In the united states 10 and 20 of patients are readmitted to the hospital within 30 days after an acute myocardial infarction mi. Updated despite near universal admission of stemi patients to the intensive care unit icu following pci a new study suggests there is a discrepancy between who is sent to the unit and who actually needs to be there. 1 2 3 readmitted patients may return to the discharging index hospital or may instead seek care at a nonindex hospital for a variety of reasons including travel distance and reason for readmission.

Heart failure hf complicating myocardial infarction mi is common and may be present at admission or develop during the hospitalization. Non icu care people recovering from a stemi are among some of the very sick patients icus were designed for so providers may not even think about disrupting the. Although the majority of stemi patients are treated in the icu after undergoing pci only 16 percent develop complications that require icu care according to a study published april 15 in jacc. Emergency medical services stemi referral hospitals and pci centers.

To preserve icu beds all hemodynamically stable stemi patients following pci should be admitted to an intermediate care telemetry unit with a plan for early 48 hours discharge. Among patients with mi there is a strong relationship between degree of hf and mortality. The continuity of care that results from. Medical therapy for hf after mi includes early.