Rescue effect analysis of multi-department assisted hierarchical and regional management on acute myocardial infarction
10.3969/j.issn.1008-0074.2024.05.14
- VernacularTitle:基于多科协助的分级分区管理对急性心肌梗死的抢救效果分析
- Author:
Yu-Lin NI
1
;
Xiao HAN
;
Xiao-Rong WANG
Author Information
1. 核工业四一六医院急诊科,四川成都 610051
- Keywords:
Myocardial infarction;
Emergency medical services;
Qualityof life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(5):580-584
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of hierarchical and regional management based on multi-department as-sistance on first-aid efficiency and rescue effect in patients with acute myocardial infarction(AMI).Methods:A total of 55 AMI patients who were treated in Emergency Department of Nuclear Industry 416 Hospital between Jan-uary and June 2021 were retrospectively enrolled as routine management group,another 67 AMI patients treated in our Emergency Department between January and June 2022 were enrolled as hierarchical and regional management group.First-aid efficiency related indexes,rescue time,hospital stay,rescue success rate related indexes and prog-nosis were compared between two groups.Results:Compared with routine management group,there were signifi-cant reductions in door-to-balloon time[(55.39±5.86)min vs.(31.47±5.41)min],passage residence time[(68.16±5.82)min vs.(51.17±5.06)min],emergency room stay time[(21.83±3.07)min vs.(13.04±2.75)min],venous channel open time[(5.03±1.62)min vs.(3.34±1.21)min],waiting time[(91.66±5.34)min vs.(70.15±4.33)min],rescue time[(55.15±7.34)min vs.(25.71±5.80)min],symptom relieving time[(66.74±9.02)h vs.(46.13±8.23)h]and hospital stay[(7.58±2.16)d vs.(5.02±1.35)d]in hierarchical and regional management group(P＜0.001 all).Total satisfaction of rescue(88.06％vs.70.91％)and rescue suc-cess rate(95.52％vs.76.36％)of hierarchical and regional management group were significantly higher than those of routine management group,and total incidence rate of adverse cardiovascular events(10.45％vs.25.45％)was significantly lower than that of routine management group(P＜0.05 or＜0.01).Conclusion:The hierarchical and regional management based on multi-department assistance can significantly improve first-aid efficiency and res-cue effect in patients with acute myocardial infarction,the rescue success rate is high and prognosis is good.
