The impact of chest pain center on treatment delay of STEMI patients: a time series study
Dublin Core
Title
The impact of chest pain center on treatment delay of STEMI patients: a time series study
Subject
ST segment elevation myocardial infarction, Chest pain center, Treatment delay
Description
Objective: To study the effect of the establishment of a Chest Pain Center (CPC) on the treatment delay of STelevation myocardial infarction (STEMI) patients and the influencing factors of treatment delay in a large hospital in
China.
Methods: The study subjects are 318 STEMI patients admitted between August 2016 and July 2019 to a large
general hospital in Henan, China. Data were extracted from the electronic medical records after removing personal
identifiable information. The interrupted time series regression was used to analyze the treatment delay of patients
before and after the CPC establishment.
Results: After the CPC establishment, the patients’ pre-hospital and in-hospital treatment delays were significantly
reduced. SO-to-FMC (Symptom Onset to First Medical Contact time) decreased by 49.237 min and D-to-B (Door to
Balloon time) decreased by 21.931 min immediately after the CPC establishment. In addition, SO-to-FMC delay is
significantly correlated with age, occupation, nocturnal onset, and the way to hospital. D-to-B delay is significantly
associated with time from initial diagnosis to informed consent of percutaneous coronary intervention (PCI),
catheterization lab activation time, and time for PCI informed consent.
Conclusion: The CPC significantly reduced the treatment delay of STEMI patients undergoing PCI
China.
Methods: The study subjects are 318 STEMI patients admitted between August 2016 and July 2019 to a large
general hospital in Henan, China. Data were extracted from the electronic medical records after removing personal
identifiable information. The interrupted time series regression was used to analyze the treatment delay of patients
before and after the CPC establishment.
Results: After the CPC establishment, the patients’ pre-hospital and in-hospital treatment delays were significantly
reduced. SO-to-FMC (Symptom Onset to First Medical Contact time) decreased by 49.237 min and D-to-B (Door to
Balloon time) decreased by 21.931 min immediately after the CPC establishment. In addition, SO-to-FMC delay is
significantly correlated with age, occupation, nocturnal onset, and the way to hospital. D-to-B delay is significantly
associated with time from initial diagnosis to informed consent of percutaneous coronary intervention (PCI),
catheterization lab activation time, and time for PCI informed consent.
Conclusion: The CPC significantly reduced the treatment delay of STEMI patients undergoing PCI
Creator
Xiaolin Sun, Bo Yao, Kexin Shi, Yajiong Xue and Huigang Liang
Publisher
BMC Emergency Medicine
Date
(2021) 21:129
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Xiaolin Sun, Bo Yao, Kexin Shi, Yajiong Xue and Huigang Liang, “The impact of chest pain center on treatment delay of STEMI patients: a time series study,” Repository Horizon University Indonesia, accessed November 13, 2024, https://repository.horizon.ac.id/items/show/3921.