In-hospital delay to primary angioplasty for patients with ST-elevated myocardial infarction between cardiac specialized hospitals and non-specialized hospitals in Beijing, China
In-hospital delay to primary angioplasty for patients with ST-elevated myocardial infarction between cardiac specialized hospitals and non-specialized hospitals in Beijing, China
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DOI：
10.3760/cma.j.issn.0366-6999.2010.07.007
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发表时间：
2010-04-05
影响因子：
6.1
通讯作者：
Hu Da-yi
中科院分区：
文献类型：
--
作者：
Xun Yi-wen;Yang Jin-gang;Hu Da-yi
背景证据表明 ST 段抬高型心肌梗死 (STEMI) 患者的早期再灌注治疗可减少并发症。本研究旨在比较中国北京专科医院和非专科医院STEMI患者首次经皮冠状动脉介入治疗（PPCI）的院内延误情况。方法选择有能力实施PPCI的2家专科医院和15家非专科医院参与本研究。共有308名在2005年11月1日至2006年12月31日期间出现症状后12小时内接受PPCI的患者入组。通过结构化访谈和病历审查收集数据。结果 住院延误中位时间为 98 分钟（四分位数范围 105 至 180）分钟，16.9% 的患者在 90 分钟内得到治疗。非专科医院的总住院延误时间和心电图至治疗决策时间均长于心脏专科医院（147 分钟 vs. 120 分钟，P
Background Evidence indicates that early reperfusion therapy in patients with ST-elevation myocardial infarction (STEMI) reduces complications. This study was undertaken to compare the in-hospital delay to primary percutaneous coronary intervention (PPCI) for patients with STEMI between specialized hospitals and non-specialized hospitals in Beijing, China.Methods Two specialized hospitals and fifteen non-specialized hospitals capable of performing PPCI were selected to participate in this study. A total of 308 patients, within 12 hours of the onset of symptoms and undergoing PPCI between November 1, 2005 and December 31, 2006 were enrolled. Data were collected by structured interview and review of medical records.Results The median in-hospital delay was 98 (interquartile range 105 to 180) minutes, and 16.9% of the patients were treated within 90 minutes. Total in-hospital delay and ECG-to-treatment decision-making time were longer in the non-specialized hospitals than in the cardiac specialized hospitals (147 minutes vs. 120 minutes, P