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学科主题: 临床医学
题名:
In-hospital delay to primary angioplasty for patients with ST-elevated myocardial infarction between cardiac specialized hospitals and non-specialized hospitals in Beijing, China
作者: Xun Yi-wen1,2; Yang Jin-gang3,4,5; Song Li6; Sun Yi-hong1; Lu Chang-lin2; Yang Yue-jin3,4,5; Hu Da-yi1
关键词: cardiac specialized hospitals ; ST-elevated myocardial infarction ; primary percutaneous coronary intervention ; treatment delay
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2010-04-05
DOI: 10.3760/cma.j.issn.0366-6999.2010.07.007
卷: 123, 期:7, 页:800-805
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: TO-BALLOON TIME ; PERCUTANEOUS CORONARY INTERVENTION ; REPERFUSION ; CARE ; IMPROVEMENT ; STRATEGIES ; MORTALITY ; REGISTRY ; THERAPY ; AMI
英文摘要:

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 <0.001; 55 minutes vs. 45 minutes, P=0.035). After controlling the confounding factors, the non-specialized hospitals were independently associated with an increased risk of being in the upper median of in-hospital delays.

Conclusions There were substantial in-hospital delays between arrival at the hospital and the administration of PPCI for patients with STEMI in Beijing. Patients admitted to the cardiac specialized hospitals had a shorter in-hospital delay than those to the non-specialized hospitals because of a shorter time of ECG-to-treatment decision-making. Chin Med J 2010;123(7):800-805

语种: 英语
所属项目编号: [2005]593
项目资助者: Beijing Municipal Science and Technology Commission
WOS记录号: WOS:000276683700007
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50332
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Ctr Heart, Beijing 100044, Peoples R China
2.Capital Med Univ, Tongren Hosp, Dept Cardiol, Beijing 100730, Peoples R China
3.Chinese Acad Med Sci, Cardiovasc Inst, Dept Cardiol, Beijing 100037, Peoples R China
4.Chinese Acad Med Sci, Fu Wai Hosp, Beijing 100037, Peoples R China
5.Peking Union Med Coll, Beijing 100037, Peoples R China
6.Capital Med Univ, Anzhen Hosp, Dept Emergency, Beijing 100029, Peoples R China

Recommended Citation:
Xun Yi-wen,Yang Jin-gang,Song Li,et al. In-hospital delay to primary angioplasty for patients with ST-elevated myocardial infarction between cardiac specialized hospitals and non-specialized hospitals in Beijing, China[J]. CHINESE MEDICAL JOURNAL,2010,123(7):800-805.
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