IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Influence of ambulance use on early reperfusion therapies for acute myocardial infarction
Song Li2; Hu Da-yi1,2; Yan Hong-bing3; Yang Jin-gang2; Sun Yi-hong1; Li Chao2; Liu Shu-shan2; Wu Dong2; Feng Qi2
关键词myocardial infarction ambulance use reperfusion
刊名CHINESE MEDICAL JOURNAL
2008-05-05
121期:9页:771-775
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]EMERGENCY MEDICAL-SERVICES ; CHEST-PAIN ; DELAY-TIME ; MORTALITY ; INTERVENTION ; EXPERIENCE ; PREDICTORS ; TRANSPORT ; PATTERNS ; CARE
英文摘要

Background Ambulance use expedites the definitive treatment of acute myocardial infarction (AMI). The aim of this study was to evaluate the effect of ambulance use on the administration of early reperfusion therapies for patients with AMI in Beijing, China.

Methods Data were prospectively collected from 498 patients with ST-elevation myocardial infarction (STEIMI) who were admitted within 12 hours of symptom onset to 19 hospitals in Beijing between November 1, 2005 and December 31, 2006. The baseline characteristics of and the initial management of the ambulance users and the non-ambulance users were compared.

Results Only 186 (37.3%) patients used an ambulance as transportation to the hospital. Ambulance users were, on average, older and at relatively higher risk on presentation than the non-ambulance users. After adjustment for patient and hospital characteristics, ambulance use was associated with a greater early reperfusion rate, mainly because of a greater incidence of primary percutaneous coronary intervention. In addition, ambulance users had a significantly shorter median door-to-balloon (120 compared with 145 minutes, P <0.001) and symptom onset-to-balloon (223 compared with 300 minutes, P<0.001) time than non-ambulance users.

Conclusions Ambulances are underused by AMI patients in Beijing. Ambulance use may lead to more frequent and faster receipt of early reperfusion therapies. New public health strategies should be developed to facilitate an increased use of ambulances by AMI patients.

语种英语
WOS记录号WOS:000255767400001
引用统计
被引频次:18[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/60144
专题北京大学第二临床医学院
北京大学第二临床医学院_老年科
作者单位1.Peking Univ, Peoples Hosp, Ctr Heart, Beijing 100044, Peoples R China
2.Capital Med Univ, Beijing Tongren Hosp, Ctr Cardiovasc, Beijing 100730, Peoples R China
3.Capital Med Univ, Anzhen Hosp, Dept Emergency, Beijing 100029, Peoples R China
推荐引用方式
GB/T 7714
Song Li,Hu Da-yi,Yan Hong-bing,et al. Influence of ambulance use on early reperfusion therapies for acute myocardial infarction[J]. CHINESE MEDICAL JOURNAL,2008,121(9):771-775.
APA Song Li.,Hu Da-yi.,Yan Hong-bing.,Yang Jin-gang.,Sun Yi-hong.,...&Feng Qi.(2008).Influence of ambulance use on early reperfusion therapies for acute myocardial infarction.CHINESE MEDICAL JOURNAL,121(9),771-775.
MLA Song Li,et al."Influence of ambulance use on early reperfusion therapies for acute myocardial infarction".CHINESE MEDICAL JOURNAL 121.9(2008):771-775.
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