Impact of optimization of chest pain treatment process on the treatment effect of STEMI patients in remote mountainous areas
Objective To explore the impact of the construction of chest pain collaborative treatment system and optimi-zation of the chest pain treatment process on the treatment effect of acute ST-segment elevation myocardial infarction(STE-MI).Methods 668 first-diagnosis STEMI patients who were treated in the Chest Pain Center of Affiliated Hospital of You-jiang Medical University for Nationalities from January 2020 to December 2023 were selected.According to referral method and route to the hospital,patients were divided into routine referral group(203 cases)and chest pain collaborative treatment referral group(465 cases).Both groups underwent emergency percutaneous coronary intervention(PCI).And then,the time nodes,thrombolysis and recanalization status,complications during PCI,adverse events within 3 months after dis-charge,and readmission status of chest pain treatment between two groups were compared.Results The time of each node in the chest pain collaborative treatment referral group was shorter than that in the routine referral group,and difference was statistically significant(P＜0.05).Thrombolysis rate and thrombolysis recanalization rate in the chest pain collaborative treat-ment referral group were higher than those in the routine referral group,and the difference was statistically significant(P＜0.001).After a 3-month follow-up after discharge,the incidence rate of adverse events and readmission rate in the chest pain collaborative treatment referral group were lower than those in the routine referral group,and difference was statistically significant(P＜0.05).Conclusion The construction of chest pain collaborative treatment system can significantly shorten the treatment time of STEMI patients,reduce intraoperative complications of PCI,and help improve the prognosis.
万方数据
维普
