Characteristics and outcomes of patients with cardiac conditions requiring emergency medical retrieval from the Great Barrier Reef, Australia.

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Rural and remote health Pub Date : 2024-10-01 Epub Date: 2024-10-07 DOI:10.22605/RRH8233
Robert T Harvey, Katrina Starmer, Theodore Sklavos, Tim Cahill, Gregory Starmer, John O'Neill, Robert Mitchell
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Abstract

Introduction: There is limited published data on the burden of cardiac disease among patients requiring emergency medical evacuation from the Great Barrier Reef, a popular tourist destination in Far North Queensland, Australia. The aim of this study was to examine the characteristics and outcomes of patients with cardiac conditions who were retrieved from the northern Great Barrier Reef to Cairns Hospital.

Methods: This observational study was a planned substudy of a broader analysis of medical retrievals from the Cairns/Cooktown section of the Great Barrier Reef. It included all patients retrieved to Cairns Hospital between July 2016 and January 2020 who were assigned a cardiac diagnosis during their hospital stay. Data were collected about electrocardiograph, cardiac troponin blood test and invasive coronary angiography results as well as final hospital diagnosis.

Results: During the study period, 120 patients were retrieved from the Great Barrier Reef to Cairns Hospital, of which 46 (38%) were subsequently diagnosed with a primary cardiac condition(s) or other disease process with clinically significant cardiac involvement. The most common diagnoses were type 2 myocardial infarction (20; 16.7% of all retrievals), primary cardiac arrhythmia (14; 12.5%) and acute coronary syndrome (5; 4.2%). An elevated troponin was recorded in 30% of all retrievals and in 78% of those with a cardiac diagnosis. A total of 14 (30.4%) of patients with a cardiac diagnosis died during their hospital admission. Invasive coronary angiography was performed in 18 cases, of which six patients had obstructive coronary artery disease. Four patients required percutaneous coronary intervention.

Conclusion: A high proportion of patients retrieved to Cairns Hospital from the Great Barrier Reef were diagnosed with a primary cardiac condition. This data may assist tourism operators, retrieval organisations and health services to plan for, and respond to, cardiac events among visitors to the reef.

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需要从澳大利亚大堡礁进行紧急医疗救援的心脏病患者的特征和治疗效果。
简介大堡礁是澳大利亚昆士兰州远北地区的著名旅游胜地,关于需要从大堡礁紧急医疗后送的患者中心脏疾病负担的公开数据十分有限。本研究旨在探讨从大堡礁北部被送往凯恩斯医院的心脏病患者的特征和治疗效果:这项观察性研究是对大堡礁凯恩斯/库克镇地区医疗救治情况进行广泛分析后计划开展的一项子研究。研究对象包括 2016 年 7 月至 2020 年 1 月期间在凯恩斯医院就诊的所有患者,这些患者在住院期间均被确诊为心脏病患者。研究收集了有关心电图、心肌肌钙蛋白血检和有创冠状动脉造影结果以及最终医院诊断的数据:研究期间,凯恩斯医院共收治了 120 名来自大堡礁的患者,其中 46 人(38%)随后被诊断出患有原发性心脏病或其他临床上严重累及心脏的疾病。最常见的诊断是 2 型心肌梗死(20 例,占所有取回样本的 16.7%)、原发性心律失常(14 例,占 12.5%)和急性冠状动脉综合征(5 例,占 4.2%)。在所有取样中,有 30% 记录到肌钙蛋白升高,在确诊为心脏疾病的取样中,有 78% 记录到肌钙蛋白升高。在确诊为心脏病的患者中,共有 14 人(30.4%)在住院期间死亡。对 18 例患者进行了侵入性冠状动脉造影,其中 6 例患者患有阻塞性冠状动脉疾病。4名患者需要经皮冠状动脉介入治疗:结论:从大堡礁被送往凯恩斯医院的患者中,有很大一部分被诊断出患有原发性心脏病。这些数据可以帮助旅游业者、取回病人的组织和医疗服务机构计划和应对大堡礁游客的心脏病事件。
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来源期刊
Rural and remote health
Rural and remote health Rural Health-
CiteScore
2.00
自引率
9.50%
发文量
145
审稿时长
8 weeks
期刊介绍: Rural and Remote Health is a not-for-profit, online-only, peer-reviewed academic publication. It aims to further rural and remote health education, research and practice. The primary purpose of the Journal is to publish and so provide an international knowledge-base of peer-reviewed material from rural health practitioners (medical, nursing and allied health professionals and health workers), educators, researchers and policy makers.
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