Application value of chest pain center construction in AMI based on emergency efficiency and thrombo-lytic success rate
10.3969/j.issn.1008-0074.2024.04.21
- VernacularTitle:基于急救效率、溶栓成功率分析胸痛中心建设对AMI的应用价值
- Author:
Yue-Yue WANG
1
;
Pu WANG
;
Li-Wei WANG
Author Information
1. 廊坊市第四人民医院急诊科,河北廊坊 065700
- Keywords:
Myocardial infarction;
Chest pain;
Emergency medical services
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(4):481-485
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the rescue effect and application value of chest pain center construction in patients with acute myocardial infarction(AMI).Methods:A total of 144 AMI patients admitted our hospital from March 2020 to March 2021 were selected.According to the double-blind method,they were divided into traditional first-aid group(traditional first-aid procedure intervention,n=72)and chest pain center group(chest pain center con-struction intervention,n=72).Medical staff comprehensive first-aid ability[assessed by Mini-Clinical Evaluation Exercise(Mini-CEX)],first-aid efficiency,thrombolytic condition,mortality,incidence rates of 1-year rehos-pitalization and adverse cardiovascular events were compared between two groups.Results:Compared with tradi-tional first-aid group,there was significant rise in Mini-CEX score[(5.17±1.09)points vs.(7.41±1.27)points],and significant reductions in onset-to-first medical contact time[(12.40±1.93)min vs.(5.51±0.76)min],door-to-balloon time[(114.37±26.06)min vs.(67.05±8.34)min],first medical contact-to-reperfu-sion time[(104.63±3.30)min vs.(79.72±2.73)min],admission-to-thrombolysis time[(68.08±2.17)min vs.(52.84±1.58)min],time in bed[(65.27±2.02)h vs.(41.67±1.77)h],mortality(11.11％vs.2.78％),incidence rates of 1-year rehospitalization(15.28％vs.4.17％)and adverse cardiovascular events(18.06％vs.5.56％)in chest pain center group(P＜0.05 or＜0.01).Conclusion:Chest pain center construction can signifi-cantly improve the comprehensive quality of medical staff,complete the first-aid process,and further improve the efficiency of first-aid for AMI patients,which has a high value of clinical promotion.
