中国医学前沿杂志（电子版）2017，Vol.9Issue(1)：11-15,5.DOI:10.12037/YXQY.2017.01-03
胸痛中心认证对ST段抬高型心肌梗死患者院前救治效率的影响
The impacts of the chest pain center accreditation on the efficacy of pre-hospital care in patients with ST-segment elevation myocardial infarction
摘要
Abstract
Objective This study intends to explore the impacts of chest pain center accreditation on the efficacy of pre-hospital care in patients with ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PPCI). Method Data in this study were originated from the cloud platform database of Chinese chest pain center. Patients from chest pain centers which had passed the accreditation in the last two years enrolled in this study. The monthly average of PPCI, the monthly average door-to-ballon (D2B) time, the monthly average first medical contact to electrocardiogram (FMC2ECG) time, the percentage of remote transmitting ECG and the percentage of bypass the emergency department and cardiac care unit (CCU) were compared before and after the accreditation of chest pain center. Result Patients from 68 chest pain centers were enrolled in this study. The average D2B time after the accreditation of chest pain center [(79.9±23.9) min] was significantly shortened than before the accreditation of chest paincenter [(95.1±33.2) min] (P < 0.05). The percentage of remote transmitting ECG (47.4%) and the percentage of bypass the emergency department and CCU (34.6%) was remarkable higher than before the accreditation of chest pain center (38.4%, 25.6% ) (P < 0.05). There were no statistical differences in the FMC2ECG, but they all complied with the chest pain center accreditation whether before or after the accreditation. The monthly average of PPCI showed a trend of incline without a statistically significant (P > 0.05). Conclusion The establishment and accreditation of chest pain center may significantly improve the efficiency of pre-hospital care in patients with STEMI who underwent PPCI.关键词
胸痛中心/认证/心肌梗死/院前急救/血管成形术Key words
Chest pain center/Accreditation/Myocardial infarction/Pre-hospital care/Angioplasty引用本文复制引用
中国胸痛中心认证工作委员会,易绍东,霍勇,向定成..胸痛中心认证对ST段抬高型心肌梗死患者院前救治效率的影响[J].中国医学前沿杂志（电子版）,2017,9(1):11-15,5.基金项目
国家科技部重点研发计划专项(2016YFC1301201) （2016YFC1301201）
广东省医疗物联网推广应用工程(粤经信 [2014]975 号) （粤经信 [2014]975 号）
广州市重点实验室建设专项(穗科信字 [2013]163-15) （穗科信字 [2013]163-15）
广州市科技计划重大专项(2014Y2-00068,201508020043) （2014Y2-00068,201508020043）
