A direct connection promotes time efficiency for transfer of ST-elevation myocardial infarction patients
| Autor: | Ling-Ling Liu, Ya-Hsin Li, Shih-Wei Lai, Ya-Chin Li, Kuei-Chuan Chan, Chia-Fen Yang, Ching-Yi Mou, Shih-Chang Hung, Hung-Chang Hung |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Patient Transfer Emergency Medical Services medicine.medical_specialty Acute coronary syndrome Time Factors Health (social science) Cath lab medicine.medical_treatment lcsh:Special situations and conditions Taiwan Medicine (miscellaneous) 030204 cardiovascular system & hematology Time-to-Treatment acute coronary syndrome quality improvement 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine medicine Emergency medical services Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Aged Retrospective Studies Aged 80 and over business.industry lcsh:RC952-1245 lcsh:Public aspects of medicine Medical record Public Health Environmental and Occupational Health Percutaneous coronary intervention rural health services lcsh:RA1-1270 Emergency department Middle Aged primary percutaneous coronary intervention medicine.disease Interinstitutional Relations Emergency medicine Conventional PCI ST Elevation Myocardial Infarction Female Emergency Service Hospital business |
| Zdroj: | Rural and Remote Health, Vol 20 (2020) |
| ISSN: | 1445-6354 |
| Popis: | Introduction: Reducing the delay in time to primary percutaneous coronary intervention (PCI) for acute coronary syndrome patients in the non-urban emergency department (ED) is of critical importance. Conventionally, physicians in a non-PCI-capable, non-urban local emergency department (LED) require approval from a tertiary university hospital emergency department (TUH-ED) prior to transferring eligible STEMI patients for PCI procedures. To reduce the ED delay time, this study developed a direct connection between the LED and the cardiac catheterisation laboratory in the TUH (TUH cath lab). Methods: ST-elevation myocardial infarction (STEMI) patients' medical records for 2014 to 2017, from a non-PCI regional hospital located in one of the rural counties in central Taiwan and a TUH-ED in a metropolitan area in the centre of Taiwan, were retrospectively collected and classified into two categories: the LED referral (group A) and the TUH-non-referral (group B). This study compared the ED delay time between TUH non-referral patients in the TUH and LED referral patients in the LED, to determine whether a direct connection reduces current LED delay time. Results: A total of 214 patients (group A, n=62; group B, n=152) who underwent PCI procedures at the TUH were enrolled in the study. ED delay times in the LED were significantly less than the TUH-ED (45.0 v 66.0 min, p |
| Databáze: | OpenAIRE |
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