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The impact of chest pain center on treatment delay of STEMI patients: a time series study.
Sun, Xiaolin; Yao, Bo; Shi, Kexin; Xue, Yajiong; Liang, Huigang.
Afiliação
  • Sun X; School of Management, Xi'an University of Finance and Economics, Xi'an, China.
  • Yao B; School of Economics and Management, Xianyang Normal University, Xianyang, China.
  • Shi K; Shaanxi Provincial People's Hospital, Xi'an, China.
  • Xue Y; Center for Healthcare Management System, College of Business, East Carolina University, Greenville, NC, 27858, USA.
  • Liang H; Department of Business and Information Technology, Fogelman College of Business and Economics, University of Memphis, Memphis, TN, 38152, USA. huigang.liang@gmail.com.
BMC Emerg Med ; 21(1): 129, 2021 11 06.
Article em En | MEDLINE | ID: mdl-34742245
OBJECTIVE: To study the effect of the establishment of a Chest Pain Center (CPC) on the treatment delay of ST-elevation myocardial infarction (STEMI) patients and the influencing factors of treatment delay in a large hospital in China. METHODS: The study subjects are 318 STEMI patients admitted between August 2016 and July 2019 to a large general hospital in Henan, China. Data were extracted from the electronic medical records after removing personal identifiable information. The interrupted time series regression was used to analyze the treatment delay of patients before and after the CPC establishment. RESULTS: After the CPC establishment, the patients' pre-hospital and in-hospital treatment delays were significantly reduced. SO-to-FMC (Symptom Onset to First Medical Contact time) decreased by 49.237 min and D-to-B (Door to Balloon time) decreased by 21.931 min immediately after the CPC establishment. In addition, SO-to-FMC delay is significantly correlated with age, occupation, nocturnal onset, and the way to hospital. D-to-B delay is significantly associated with time from initial diagnosis to informed consent of percutaneous coronary intervention (PCI), catheterization lab activation time, and time for PCI informed consent. CONCLUSION: The CPC significantly reduced the treatment delay of STEMI patients undergoing PCI.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Intervenção Coronária Percutânea / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: BMC Emerg Med Assunto da revista: MEDICINA DE EMERGENCIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: China País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Intervenção Coronária Percutânea / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: BMC Emerg Med Assunto da revista: MEDICINA DE EMERGENCIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: China País de publicação: Reino Unido