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1Prehospital system delay in patients with ST-segment elevation myocardial infarction in Singapore显示文摘BACKGROUND: Timely reperfusion in ST-segment elevation myocardial infarction(STEMI)improves outcomes. System delay is that between first medical contact and reperfusion therapy,comprising prehospital and hospital components. This study aimed to characterize prehospital system delay in Singapore.METHODS: A retrospective chart review was performed for 462 consecutive STEMI patients presenting to a tertiary hospital from December 2006 to April 2008. Patients with cardiac arrest secondarily presented were excluded. For those who received emergency medical services(EMS),ambulance records were reviewed. Time intervals in the hospital were collected prospectively. The patients were divided into two equal groups of high/low prehospital system delay using visual binning technique.RESULTS: Of 462 patients, 76 received EMS and 52 of the 76 patients were analyzed. The median system delay was 125.5 minutes and the median prehospital system delay was 33.5minutes(interquartile range [IQR]=27.0, 42.0). Delay between call-received-by-ambulance and ambulance-dispatched was 2.48 minutes(IQR=1.47, 16.55); between ambulance-dispatch and arrival-at-patient-location was 8.07 minutes(IQR=1.30, 22.13); between arrival-at- and departurefrom-patient-location was 13.12 minutes(IQR=3.12, 32.2); and between leaving-patient-location to ED-registration was 9.90 minutes(IQR=1.62, 32.92). Comparing patients with prehospital system delay of less than 35.5 minutes versus more showed that the median delay between ambulancedispatch and arrival-at-patient-location was shorter(5.75 vs. 9.37 minutes, P<0.01). The median delay between arrival-at-patient-location and leaving-patient-location was also shorter(10.78 vs.14.37 minutes, P<0.01).CONCLUSION: Prehospital system delay in our patients was suboptimal. This is the first attempt at characterizing prehospital system delay in Singapore and forms the basis for improving efficiency of STEMI care.Andrew Fu Wah Ho Pin Pin Pek Stephanie Fook-Chong Ting Hway Wong Yih Yng Ng Aaron Sung Lung Wong Marcus Eng Hock Ong 2015World Journal of Emergency Medicine2015,6,4:6
2Predicting Cirrhosis Risk Based on the Level of Circulating Hepatitis B Viral Load显示文摘Uchenna H. Iloeje Hwai–I. Yang Jun Su Chin–Lan Jen San–Lin You Chien–Jen Chen 2006Gastroenterology2006,,3:4
3Changes in Serum Levels of HBV DNA and Alanine Aminotransferase Determine Risk for Hepatocellular Carcinoma显示文摘Chuen–Fei Chen Wen–Chung Lee Hwai–I. Yang Hung–Chuen Chang Chin–Lan Jen Uchenna H. Iloeje Jun Su Chuhsing K. Hsiao Li–Yu Wang San–Lin You Sheng–Nan Lu Chien–Jen Chen 2011Gastroenterology2011,,4:3
4Metabolic Factors and Risk of Hepatocellular Carcinoma by Chronic Hepatitis B/C Infection: A Follow-up Study in Taiwan显示文摘Chi–Ling Chen Hwai–I. Yang Wei–Shiung Yang Chun–Jen Liu Pei–Jer Chen San–Lin You Li–Yu Wang Chien–An Sun Sheng–Nan Lu Ding–Shin Chen Chien–Jen Chen 2008Gastroenterology2008,,1:3
5Prediction models of long‐term Cirrhosis and hepatocellular carcinoma risk in chronic hepatitis B patients: Risk scores integrating host and virus profiles显示文摘Mei‐Hsuan Lee Hwai‐I. Yang Jessica Liu Richard Batrla‐Utermann Chin‐Lan Jen Uchenna H. Iloeje Sheng‐Nan Lu San‐Lin You Li‐Yu Wang Chien‐Jen Chen 2013Hepatology2013,,2:3
6Carriers of Inactive Hepatitis B Virus Are Still at Risk for Hepatocellular Carcinoma and Liver-Related Death显示文摘Jin–De Chen Hwai–I. Yang Uchenna H. Iloeje San–Lin You Sheng–Nan Lu Li–Yu Wang Jun Su Chien–An Sun Yun–Fan Liaw Chien–Jen Chen 2010Gastroenterology2010,,5:2
7Risk of pancreatic cancer in chronic hepatitis B virus infection: data from the REVEAL‐HBV cohort study显示文摘Uchenna H.Iloeje Hwai‐IYang Chin‐LanJen JunSu Li‐YuWang San‐LinYou Sheng‐NanLu Chien‐JenChen 2010Liver International2010,,3:2
8A critical review on the recent progress of synthesizing techniques and fabrication of TiO 2 -based nanotubes photocatalysts显示文摘Yean Ling Pang Steven Lim Hwai Chyuan Ong Wen Tong Chong 2014Applied Catalysis A, General2014,,:1
9Carriers of Inactive Hepatitis B Virus Are Still at Risk for Hepatocellular Carcinoma and Liver-Related Death显示文摘Jin–De Chen Hwai–I. Yang Uchenna H. Iloeje San–Lin You Sheng–Nan Lu Li–Yu Wang Jun Su Chien–An Sun Yun–Fan Liaw Chien–Jen Chen 2010Gastroenterology2010,,5:1
10Metabolic Factors and Risk of Hepatocellular Carcinoma by Chronic Hepatitis B/C Infection: A Follow-up Study in Taiwan显示文摘Chi–Ling Chen Hwai–I. Yang Wei–Shiung Yang Chun–Jen Liu Pei–Jer Chen San–Lin You Li–Yu Wang Chien–An Sun Sheng–Nan Lu Ding–Shin Chen Chien–Jen Chen 2008Gastroenterology2008,,1:1
11Hepatitis C virus genotype 1b increases cumulative lifetime risk of hepatocellular carcinoma显示文摘Mei‐Hsuan Lee Hwai‐I Yang Sheng‐Nan Lu Chin‐Lan Jen San‐Lin You Li‐Yu Wang Gilbert L’Italien Chien‐Jen Chen Yong Yuan 2014Cancer2014,,5:1
12Modular Design to Support Green Life-cycle Engineering显示文摘Hwai -En Tseng Hien-Chen Chang 2008Expert Systems with Applicationa2008,,34:1
13Applying case-based reasoning for product configuration in mass customization environments显示文摘HWAI E T CHIEN C C SHU H C 2005Expert Systems wit h Applications2005,29,2:1
14Changes in Serum Levels of HBV DNA and Alanine Aminotransferase Determine Risk for Hepatocellular Carcinoma显示文摘Chuen–Fei Chen Wen–Chung Lee Hwai–I. Yang Hung–Chuen Chang Chin–Lan Jen Uchenna H. Iloeje Jun Su Chuhsing K. Hsiao Li–Yu Wang San–Lin You Sheng–Nan Lu Chien–Jen Chen 2011Gastroenterology2011,,4:1
15The genus Stichopus (Echinodermata: Holothuroidea) from Johore Marine Park (Ma- laysia) with the description of two new species显示文摘MASSI C ZULFIGAR Y HWAI T S 2002Kon Belg Inst Natuurwet Biologie2002,72,:1
16Engine performance and emissions using Jatropha cureas, Ceiba pentandra and Calophyllum inophyUum biodiesel in a CI diesel engine 显示文摘Hwai Chyuan Ong Masjuki H H Mahlia T M I 2014Energy2014,69,:1
17Carriers of Inactive Hepatitis B Virus Are Still at Risk for Hepatocellular Carcinoma and Liver-Related Death显示文摘Jin–De Chen Hwai–I. Yang Uchenna H. Iloeje San–Lin You Sheng–Nan Lu Li–Yu Wang Jun Su Chien–An Sun Yun–Fan Liaw Chien–Jen Chen 2010Gastroenterology2010,,5:1
18Momentum transfer of up- perextremity intennis one-handed backhand drive显示文摘Lin HwaWang Hwai Ting Li 2005Jour- nal of Mechanics in Medicine and Biology2005,15,2:1
19The congenital bicuspid aortic valve can experience high-frequency unsteady shear stresses on its leaflet surface显示文摘Choon Hwai Yap Neelakantan Saikrishnan Gowthami Tamilselvan Nikolai Vasilyev Ajit P. Yoganathan 2012AJP: Heart and Circulatory Physiology2012,,6:1
20Matrix design for pseudo-strain-hardening fi-ber reinforced cementitious composite显示文摘LI VICTOR C DHANADAK MISHRA WU HWAI CHUNG 0,,:1
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