The effect of implementing regional cooperative rescue on patients with acute coronary syndrome
10.3760/cma.j.issn.1671-0282.2015.06.016
- VernacularTitle:实施“区域化协同救治”对急性冠脉综合征患者预后的影响
- Author:
Jinchuan YAN
;
Yi LIANG
;
Zhongqun WANG
;
Liangjie XU
;
Peijing LIU
;
Wei YUAN
;
Xiaojie CHEN
- Publication Type:Journal Article
- Keywords:
Acute coronary syndrome;
First medical contact;
Regional cooperative;
Prognosis;
Major adverse cardiac event;
Door to balloon;
Economics;
Rescue
- From:
Chinese Journal of Emergency Medicine
2015;24(6):648-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluated the effect of the regional cooperative rescue model implemented on the length of time from first medical contact (FMC) to balloon dilation (B),economic expense and prognosis in patients with acute coronary syndrome (ACS).Methods Patients with ACS (including ST-segment elevation and non-ST-segment elevation) selected from other hospitals within 24 hours after onset were treated with emergency percutaneous coronary intervention.Patients were divided into two groups, regional cooperative rescue group and control group without the regional cooperative rescue model approved.The lengths of FMC-to-B time and Door-to-B time (from arrival at emergency department or OPD to balloon dilation),time required for patients referred to our hospital,cardiac function,averaged hospital costs,average hospital stay,percentage of medication used and a major adverse cardiac event (MACE) were analyzed.Results Mean FMC-to-B time,Door-to-B time,referral time and time consumed to obtain informed consent were significantly shorter [(106±33) min,(31 ±8) min,(62 ±18,8 ±3) min] vs.[(231 ±35) min,(109 ±26) min,(98 ±31) min,(28 ±11) min,respectively] by implementing the regional cooperative rescue compared with control group,and LVEF was increased,and LVED was deceased inregional cooperative rescue group.The mean costs [(44 123.0 ±3 427.0) yuan vs.(51 587.0 ±5 621.0)] yuan,days of hospital stay [(8.7 ±4.1) vs.(13.2 ±6.4)] and percentage of medication used were significantly decreased in the regional cooperative rescue group.The incidence of MACE inregional cooperative rescue group was 6.2％,whereas the incidence in control group was 16.8％.Conclusions The regional cooperative rescue model can improve the prognosis and decrease the FMC-to-B time,the rate of MACE and financial burden in patients with ACS.
