Effects of chest pain center certification on the treatment of patients with acute ST-elevated myocardial infarction
10.16781/j.0258-879x.2019.08.0898
- Author:
Ying-Ying ZHAO
1
Author Information
1. Department of Emergency, Shanghai General Hospital, Shanghai Jiao Tong University
- Publication Type:Journal Article
- Keywords:
Acute ST segment elevation myocardial infarction;
Chest pain center;
Door to balloon time;
Percutaneous coronary intervention
- From:
Academic Journal of Second Military Medical University
2019;40(8):898-901
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the treatment of acute ST-elevated myocardial infarction (STEMI) before and after the certification of chest pain center model, so as to provide reference for the construction of chest pain center. Methods We retrospectively analyzed the clinical data of patients with acute STEMI before and after certification of the chest pain center of Shanghai General Hospital of Shanghai Jiao Tong University. Totally 119 patients were included in the pre-certification group from January 2017 to December 2017, and 160 patients were included in the post-certification group from January 2018 to April 2019. The baseline data, first medical contact to electrocardiogram (ECG) time, first ECG confirmation time, troponin reporting time, cath lab activation time, door-to-balloon dilation time, hospitalization stay, hospitalization drug cost, hospitalization inspection cost, hospitalization examination cost, total hospitalization cost, and outcomes were compared between the two groups. Results There was no significant difference in the gender, age, history of hypertension or history of diabetes between the two groups (all P>0.05). The cath lab activation time was not significantly different between the two groups (P>0.05). The first medical contact to ECG time (Z?-7.247, P<0.001), first ECG confirmation time (Z?-5.072, P<0.001), troponin reporting time (Z?-3.210, P?0.001) and door-to-balloon dilation time (Z?-7.025, P<0.001) were significantly shorter in the post-certification group than those in the pre-certification group. There were no significant differences in hospitalization stay, hospitalization drug cost, hospitalization inspection cost, hospitalization examination cost, total hospitalization cost, or mortality between the two groups (all P>0.05). Conclusion Through the certification and standardized operation of chest pain center, the time of treatment for acute STEMI can be significantly shortened.
