Publications by authors named "Robert I Brown"
Objectives: This study sought to compare the 1-year survival of patients diagnosed with ST-segment elevation myocardial infarction (STEMI) and transferred via pre-hospital triage strategy for primary percutaneous coronary intervention (PCI) with those transferred via inter-hospital transfer within a large suburban region in Canada.
Background: Primary angioplasty is the preferred therapy for STEMI if it is done within 90 min of door-to-balloon time by an experienced team in a high-volume center.
Methods: Patients identified to have STEMI on the ambulances equipped with electrocardiography bypassed the local hospitals and were sent directly to the PCI center, whereas other patients that were picked up by ambulances without electrocardiographic equipment were transported to the local hospitals where the diagnosis of STEMI was made and were re-routed to the PCI center.
Background: Primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) presents challenges in a large geographic area for achieving treatment time targets and creates demands on the PCI centre resources.
Objective: We compare the in-hospital mortality rate of patients presenting with STEMI and referred for PCI from 11 transfer hospitals with those presenting to the cardiac centre in a regional STEMI program with a selective repatriation strategy.
Methods: Between June 1, 2003, and June 30, 2007, clinical and procedural data of all STEMI patients who were referred to the catheterization laboratory were prospectively collected.
Acute limb ischemia due to vascular closure devices is an infrequent complication. However, its incidence is increasing because the use of these devices has become commonplace after cardiac catheterization and coronary angioplasty. It is therefore important for interventional cardiologists to be acquainted with the knowledge and cognitive skills of managing this complication in the catheterization laboratory.
View Article and Find Full Text PDFObjectives: Assessing the incidence, nature, severity, and psychological effects of stalking and relational harassment for victims is a difficult task and conceptual issues have hampered previous research, making it difficult for psychologists and clinicians to predict psychological sequelae for victims and develop appropriate treatments.
Design: A new scale was developed that included a measure of participants' levels of subjective distress/disturbance to aid clinicians to better assess the incidence, nature, and level of stalking and/or relational harassment for victims.
Methods: From a pool of 204 participants from Newcastle University and two business offices, it was possible to differentiate 159 persons who experienced harassment and/or stalking from the remainder who were not distressed or disturbed by such attention.