A direct connection promotes time efficiency for transfer of ST-elevation myocardial infarction patients

doi:10.22605/RRH5690

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24706

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24706

Title:	A direct connection promotes time efficiency for transfer of ST-elevation myocardial infarction patients
Authors:	Hung, SC;Mou, CY;Chan, KC;Hung, HC;Li, YC;Liu, LL;Lai, SW;Yang, CF;Li, YH
Keywords:	acute coronary syndrome;emergency medical services;primary percutaneous coronary intervention;quality improvement;rural health services;Taiwan
Date:	2020
Issue Date:	2022-08-09T08:06:41Z (UTC)
Publisher:	COLL MEDICINE & DENTISTRY JAMES COOK UNIV TOWNSVILLE
ISSN:	1445-6354
Abstract:	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<0.01.) Conclusion: The direct connection between the LED and the TUH cath lab effectively shortened the ED delay time in the LED, allowing for earlier primary PCI procedures for the transferred STEMI patients.
URI:	http://dx.doi.org/10.22605/RRH5690 https://www.webofscience.com/wos/woscc/full-record/WOS:000565854600008 https://ir.csmu.edu.tw:8080/handle/310902500/24706
Relation:	RURAL AND REMOTE HEALTH ,2020 ,v20 ,issue 2
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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