Effect of optimized prehospital emergency intervention combined with green channel on prehospital de-lay and prognosis of patients with acute cor pulmonale
10.3969/j.issn.1008-0074.2025.01.12
- VernacularTitle:优化院前急诊干预结合绿色通道对急性肺源性心脏病患者院前延迟及预后的影响
- Author:
Rong-ping CUI
1
;
Yang-hui CUI
1
;
Ai-xia LI
1
;
Yong-hong ZHANG
1
Author Information
1. 海安市人民医院急诊科,江苏南通 226600
- Publication Type:Journal Article
- Keywords:
Pulmonary heart disease;
Emergency medical services;
Prognosis
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):56-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This article aims to investigate the effect of optimized prehospital emergency intervention com-bined with green channel on prehospital delay and prognosis of patients with acute cor pulmonale(ACP).Methods:This randomized controlled study enrolled 116 ACP patients admitted in Hai'an People's Hospital between January 2021 and January 2023.They were divided into control group(n=58,routine emergency nursing procedure)and in-tervention group(n=58,optimized prehospital emergency intervention combined with green channel program).After 1-month intervention,therapeutic effect,emergency indicators,cardiopulmonary function,quality of life and incidence of complications were compared between two groups.Results:After 1-month,total effective rate of intervention group was significantly higher than that of control group(84.48％vs.62.07％,P=0.006).Com-pared with patients in control group,those in intervention group had significant lower emergency stay time[(19.80±1.90)min vs.(27.92±1.62)min],triage assessment time[(2.01±0.18)min vs.(2.99±0.17)min]and transport time[(33.69±1.90)min vs.(35.91±1.74)min],and significant higher left ventricular ejection frac-tion(LVEF)[(59.85±1.36)％vs.(46.97±1.79)％],forced expiratory volume in one second(FEV1)[(3.66±0.17)L vs.(3.00±0.17)L],scores of nursing quality and each domain of Quality of Life Instruments for Chro-nic Diseases-Chronic Pulmonary Heart Disease(QLICD-CPHD)(P＜0.001 all).Incidence of complications in intervention group was significantly lower than that of control group(5.17％vs.17.24％,P=0.039).Conclusion:Optimized prehospital emergency intervention combined with green channel has significant clinical effect on ACP patients.It could reduce emergency,triage and transport time,improve nursing quality and quality of life,enhance cardiopulmonary function,and reduce the incidence of complications.
