کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2652359 1139630 2015 6 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Physicians' perceptions of the Thrombolysis in Myocardial Infarction (TIMI) risk score in older adults with acute myocardial infarction
ترجمه فارسی عنوان
برداشت پزشکان از ترومبولیز در نمره خطر سکته قلبی (TIMI) در افراد مسن با انفارکتوس حاد میوکارد
کلمات کلیدی
انفارکتوس میوکارد؛ پیری. عوامل خطر؛ بزرگسالان سالمند؛ مدل طبقه بندی خطر آمیا، انفارکتوس حاد قلب؛ ACC، کالج آمریکایی قلب و عروق؛ AHA، انجمن قلب آمریکا؛ TIMI، ترومبولیزیز در انفارکتوس میوکارد؛
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی


• We examine physicians' perceptions of the TIMI risk scores in older adults with AMI.
• The models' strengths included familiarity, ease of use, and validation.
• The models' limitations included a lack of geriatric-specific risk factors and scope.
• New AMI risk models that incorporate geriatric-specific risk factors are needed.

ObjectivesTo evaluate physician-perceived strengths and limitations of the Thrombolysis in Myocardial Infarction (TIMI) risk scores for use in older adults with acute myocardial infarction (AMI).BackgroundThe TIMI risk scores are risk stratification models developed to estimate mortality risk for patients hospitalized for AMI. However, these models were developed and validated in cohorts underrepresenting older adults (≥75 years).MethodsQualitative study using semi-structured telephone interviews and the constant comparative method for analysis.ResultsTwenty-two physicians completed interviews ranging 10–30 min (mean = 18 min). Median sample age was 37 years, with a median of 11.5 years of clinical experience. TIMI strengths included familiarity, ease of use, and validation. Limitations included a lack of risk factors relevant to older adults and model scope and influence.ConclusionsPhysicians report that the TIMI models, while widely used in clinical practice, have limitations when applied to older adults. New risk models are needed to guide AMI treatment in this population.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 44, Issue 5, September–October 2015, Pages 376–381
نویسندگان
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