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Predictive model of increased mortality and bed occupancy if thrombolysis becomes the initial treatment strategy for STEMI during the SARS-CoV-2 pandemic

Luke Dancy, Kevin O’Gallagher, Matthew Ryan, Philip A MacCarthy and Ajay M Shah
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DOI: https://doi.org/10.7861/clinmed.2020-0293
Clin Med September 2020
Luke Dancy
AKing's College Hospital NHS Foundation Trust, London, UK
Roles: registrar in interventional cardiology
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Kevin O’Gallagher
BThe King's College London British Heart Foundation Centre of Research Excellence, London, UK
Roles: Medical Research Council clinical research fellow
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  • For correspondence: kevin.o'gallagher@kcl.ac.uk
Matthew Ryan
CThe King's College London British Heart Foundation Centre of Research Excellence, London, UK
Roles: British Heart Foundation clinical research fellow
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Philip A MacCarthy
DKing's College Hospital NHS Foundation Trust, London, UK
Roles: professor of cardiology
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Ajay M Shah
EThe King's College London British Heart Foundation Centre of Research Excellence, London, UK
Roles: professor of cardiology
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    Fig 1.

    Estimated impact of altering management strategy for primary percutaneous coronary intervention (PPCI) in the UK. a) Initial management strategy for STEMI in the UK in 2018 (n=35,740). b) Predicted increase in mortality and bed day numbers with progressive increases in thrombolysis instead of PPCI for treatment of STEMI in the UK. Based on 30-day STEMI mortality in England over 3 years to 2018. Bed day calculation based on 4-day admission for PPCI-managed STEMI and 7 day for non-PPCI managed STEMI. Data from Myocardial Ischaemia National Audit Project.8

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Predictive model of increased mortality and bed occupancy if thrombolysis becomes the initial treatment strategy for STEMI during the SARS-CoV-2 pandemic
Luke Dancy, Kevin O’Gallagher, Matthew Ryan, Philip A MacCarthy, Ajay M Shah
Clinical Medicine Sep 2020, 20 (5) e170-e172; DOI: 10.7861/clinmed.2020-0293

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Predictive model of increased mortality and bed occupancy if thrombolysis becomes the initial treatment strategy for STEMI during the SARS-CoV-2 pandemic
Luke Dancy, Kevin O’Gallagher, Matthew Ryan, Philip A MacCarthy, Ajay M Shah
Clinical Medicine Sep 2020, 20 (5) e170-e172; DOI: 10.7861/clinmed.2020-0293
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    • ABSTRACT
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    • Predicting the impact of changing from PPCI to thrombolysis as initial management for STEMI
    • Effect of COVID-19 on presentations
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