Floor To Admit To After Stemi

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.

Floor to admit to after stemi.

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. 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. The continuity of care that results from. Among patients with mi there is a strong relationship between degree of hf and mortality.

Heart failure hf complicating myocardial infarction mi is common and may be present at admission or develop during the hospitalization. In the analysis researchers showed that while more than 80 of patients who underwent uncomplicated primary pci for stemi are admitted to the icu after the procedure. Across the nation 75 percent of stemi heart attack patients are sent to the icu most of the time after reperfusion treatment in the cath lab to open up the blocked vessel. In the united states 10 and 20 of patients are readmitted to the hospital within 30 days after an acute myocardial infarction mi.

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. The optimal management of the patient with hf complicating mi varies according to time since the onset of infarction. Stemi regional systems of care system wide. Emergency medical services stemi referral hospitals and pci centers.