关键词:

胸痛中心, 诊疗模式, 县医院, 急性ST段抬高型心肌梗死, 效率

Abstract:

Objective To compare the treatment effectiveness of different chest pain practice patterns for patients with ST⁃segment elevation myocardial infarction（STEMI）during emergency care at the medical agencies in Xinhui district of Jiangmen City. Methods The clinical date on 266 patients who had been transferred from other medical agencies to our hospital in which diagnosed as STEMI and received primary percutaneous coronary interven⁃ tion（PCI）from August 2017 to July 2020 were collected. The patients were divided into the group of integrated health care system（n = 45），the cooperative hospital group（n = 134）and the non ⁃ cooperative hospital group （n = 87）. Results There were no significant differences in demographic data，Killip pump function classification and basic medical history among the three groups（P > 0.05）. Time to FMC⁃ECG completion，Time to diagnostic confirm on ECG，Time to troponin blood collection ⁃ report，Time to activation of intervention therapy room，and time to door to wire were shorter in the group of integrated health care system than in the other two groups（P < 0.001），the rate of clinical visit within two hours of onset was higher（P = 0.0259），and the hospitalization cost was lower（P < 0.001）. However，there were no significant differences in the rates of hospitalization mortality and heart failure among the three groups（P > 0.05）. Conclusions The construction of chest pain practice patterns based on integrated health care system can significantly shorten time to emergency care for patients with acute chest pain in counties and districts. 

Key words:

chest pain center, practice patterns, county hospitals, acute st?segment elevation myo? cardial infarction, efficiency