Application of Standardized Emergency Pre-Examination and Triage Mode in Regional Chest Pain Centers
Objective To explore the application value of standardized emergency pre-examination and triage mode in regional chest pain centers.Methods A total of 100 patients with acute chest pain who did not implement standardized emergency pre-examination and triage mode at 73rd Group Army Hospital from July 2020 to January 2022 were designated as the control group,and 100 patients with acute chest pain who underwent standardized emergency pre examination and triage mode from February 2022 to June 2023 were designated as the study group.The rescue indicators,clinical effects,and differences in emergency work efficiency and incidence of adverse reactions.Results The pre-examination and triage time[(2.03±0.21)min vs.(3.05±0.29)min],first electrocardiogram time[(5.06±1.01)min vs.(6.23±1.51)min],open venous pathway time[(9.11±2.01)min vs.(11.63±2.01)min]and point of care testing(POCT)+test report time[(18.98±2.65)min vs.(23.65±2.81)min]of the study group patients were significantly shorter than those of the control group(P<0.05).The first medical contact(FMC)to percutaneous coronary intervention(PCI)(FMC-to-B)[(43.20±3.65)min vs.(56.96±5.18)min],total time from hospital to receiving formal treatment(D-to-B)[(72.36±6.23)min vs.(110.15±13.23)min],and troponin I acquisition time[(21.02±2.65)min vs.(31.05±3.11)min]of patients in the study group were significantly lower than those in the control group(P<0.05).The emergency response time and emergency waiting time of the study group patients were significantly shorter than those of the control group(P<0.05).There was no statistically significant difference in the accuracy of pre examination and triage between the two groups of patients(P>0.05).One case of arrhythmia and one case of heart failure occurred in the study group,with a total incidence of adverse reactions of 2.00%(2/100),significantly lower than the 9.00%(9/100)in the control group(P<0.05).Conclusion For patients with acute chest pain to carry out the standardization of emergency preview preview triage mode is helpful to improve patients triage efficiency,to improve clinical treatment effect and to reduce the incidence of adverse reactions has positive significance.
万方数据
维普
