Abstract
Highlights Timely healthcare access poses a formidable challenge in the semiurban and rural areas of the developing world. This is particularly noticeable in emergency situations such as ST-segment elevation myocardial infarction (STEMI). We explored whether a remotely monitored intensive care unit (electronic ICU [eICU]) would bridge this demand-supply gap. To evaluate the efficacy of an eICU model of service and intervention for the early diagnosis of STEMI and prompt initiation of thrombolytic therapy, mortality during 12-month eICU period was compared with the mortality in the same period preceding the eICU establishment. Not only initiation of thrombolytic treatment was supported remotely by eICU, but the door-to-needle time in STEMI was reduced by 85% to 26.23 min, resulting in a substantial 70% mortality benefit.
Published Version
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