Abstract:
Objective To explore the influence of the establishment of chest pain center in our hospital on the treatment of acute myocardial infarction, so as to provide reference for the treatment of clinical diseases.
Methods 187 cases of ST-segment elevation myocardial infarction (STEMI) patients admitted before and after the establishment of chest pain center in our hospital (From January 2016 to December 2019) were divided into control group (before the establishment of chest pain center, 73 cases) and observation group (after the establishment of chest pain center, 114 cases), In the control group, there were 73 patients, including 57 males (78.1%) and 16 females (21.9%), aged 33 ~ 90 years, with an average age of (61±13) years. Observation group had 114 patients, including 88 males (77.2%) and 26 females (22.8%), aged from 32 to 90 years old, with an average age of (61±13) years. and the treatment efficiency and PCI status of the two groups were compared.
Results The time of first medical contact, the time of completion of first medical contact-electrocardiogram, the time of confirmation of first electrocardiogram, the time of confirmation-double antiplatelet agents and the time of first medical contact-wire bypass(door-to-balloon D2B) in the observation group were (227.46±301.88) min, (2.09±1.00) min, (1.64±1.10) min, (6.66±6.25) min, and (79.29±41.12) min, respectively; those in the control group were (342.37±397.92) min, (7.70±6.88) min, (2.66±1.67) min, (13.78±14.12) min, and (105.03±69.11) min, respectively. The appeal time in the observation group was shorter than that in the control group, and the difference was statistically significant (P<0.05); The rate of PCI operation(80.70%)and the ratio of double(18.42%) in the observation group was higher than that in the control group(52.05%, 6.85%), and the difference was statistically significant (P<0.05). The in-hospital fatality rate in the observation group(5.26%)was lower than that in the control group(15.07%), and the difference was statistically significant (P<0.05). There was no statistically significant difference in average length of hospital stay between the two groups (P<0.05).
Conclusion After the establishment of chest pain center, the treatment efficiency of STEMI is significantly improved.
Key words:
Primary hospitals,
ST-segment elevation myocardial infarction,
the time of first medical contact-wire bypass,
The double round,
Average length of stay,
Hospital mortality rate
Youlong Wang, Yonghao Jin, Hongbo Chen, Xiangting Lu, Xiaolan Feng, Hailong Dai. Effect of chest pain center on treatment of acute myocardial infarction in primary hospital[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2021, 07(02): 79-82.