The effect of the construction of standardized chest pain center on the treatment efficiency of emergency percutaneous coronary intervention in patients with acute coronary syndrome in Hotan prefecture
Objective To investigate the effect of the construction of standardized chest pain center on the treatment efficiency of emergency percutaneous coronary intervention(PCI)in patients with acute coronary syndrome(ACS)in Hotan area.Methods A total of 445 patients diagnosed with ACS in People's Hospital of Hotan Prefecture in Xinjiang Uygur Autonomous Region from January 2021 to April 2022 were retrospectively analyzed.All patients underwent emergency PCI.Among them,225 ACS patients who underwent emergency green channel mode(from January to August 2021)before standardized chest pain center certification were included in the control group.A total of 220 ACS patients who were admitted to the hospital after the certification of standardized chest pain center(from September 2021 to April 2022)were included in the observation group.The general information,the incidence of in-hospital major adverse cardiovascular events(MACE),the reperfusion treatment efficiency index of patients diagnosed with ST-segment elevation myocardial infarction(STEMI),the length of hospital stay,and hospitalization expenses were compared between the two groups.Results There was statistically significant difference in the proportion of patients with diabetes history between the two groups(P＜0.05).There was statis-tically significant difference in the incidence of in-hospital cardiogenic shock between the two groups(P＜0.05).The total incidence of in-hospital MACE in the observation group was significantly lower than that in the control group[10.9％(24/220)vs 17.8％(40/225)](P=0.039).The time from onset to first medical contact,the time from first medical contact to balloon dilatation,the ischemic time from door to balloon dilatation,and the activation time of catheterization laboratory in STEMI patients after the certification of standardized chest pain center were lower than those in STEMI patients under emergency green channel mode(all P＜0.05).The average hospitalization time and average hospitalization cost of the observation group were lower than those of the control group[(7.7±2.1)d vs(8.3±2.6)d,(28 353±9 071)yuan vs(30 163±10 203)yuan](both P＜0.05).Conclusion The construction of standardized chest pain center can effectively improve the efficiency of in-hospital treatment of ACS patients,reduce the time of myocardial ischemia,reduce the incidence of MACE,shorten the length of hospital stay,and save medical costs.
万方数据
维普
