Application effect of green channel management mode based on first-aid efficiency and safety indexes in patients with cardiac arrest
10.3969/j.issn.1008-0074.2024.03.13
- VernacularTitle:基于急救效率和安全性指标的绿色通道管理模式在心脏骤停患者中的应用效果
- Author:
Jian-Li PAN
1
;
Ai-Xia LI
;
Yin YU
Author Information
1. 海安市人民医院急诊科,江苏南通 226600
- Keywords:
Heart arrest;
Nursing care;
First aid
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(3):318-322
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical application effect of green channel management mode based on first-aid ef-ficiency and safety indicators on patients with cardiac arrest.Methods:Emergency data of 120 patients with cardiac arrest treated in our hospital from Jan 2021 to Dec 2022 were retrospectively analyzed.Patients undergoing tradi-tional first-aid management from Jan to Dec 2021 were enrolled in traditional group,and those underwent green channel management from Jan to Dec 2022 were included in green channel group,with 60 cases in each group.Se-cure success rate,emergency efficiency and incidence of adverse events were compared between two groups.All pa-tients were followed up for six months after discharge,and incidence rate of major adverse cardiovascular events(MACE)was compared between two groups.Results:Compared with the control group,there was significant rise in success rate of first-aid(75.00％vs.91.67％),x2=6.000,P=0.014;and significant reductions in transport time[(9.06±0.59)min vs.(5.38±0.43)min],auxiliary examination time[(34.03±1.10)h vs.(23.55±0.87)h],emergency room retention time[(3.78±0.15)h vs.(1.67±0.09)h]and operation time[(10.19±0.70)h vs.(7.71±0.29)h]in the green channel group(P=0.001 all).Compared with control group,there were signifi-cant reductions in incidence rates of adverse events(20.00％vs.3.64％)and MACE during the 6-month follow-up(17.78％vs.3.64％)in green channel group(P＜0.05 both).Conclusion:Green channel service process inter-vention can significantly improve secure success rate and emergency efficiency,reduce incidence rates of adverse e-vents and prognosis major adverse cardiovascular events in patients with cardiac arrest,which is worthy of promo-tion and application.
