摘要
目的 探讨院内“一键启动”流程实施对救治急性ST段抬高型心肌梗死（STEMI）患者的效果.方法 以急诊绿色通道为基础,胸痛中心为平台,建立院内“一键启动”流程,并对“一键启动”流程实施前后的临床数据进行统计分析.结果 “一键启动”流程实施后的16个月内共收治了126例STEMI患者,与流程实施前16个月相比,入门-球囊扩张时间（D2B）缩短了42.9 min（38.1％）,平均住院天数缩短了2d（20.2％）,人均住院费用减少了2893元（5.11％）,并有效降低了STEMI患者的院内死亡率.结论 采用院内“一键启动”流程,能有效缩短STEMI患者的救治时间,明显降低病死率,是控制医疗费用和提高服务质量的有效方法.
Objective To evaluate the difference before and after ＂one-call activated system＂ implementation. Methods Based on the emergent green pathway and ＂chest pain center＂ platform, we established our own ＂one-call activated system＂ flow-path. All the 16 months data since hospital ＂one-call activated system＂ implementation was collected and analyzed. Results 126 STEMI patients were enrolled. Average door-to-balloon time was shortened 42.9 minutes （38.1%）, the medium length of hospital stay was shortened 2 days （20.2%）, average hospitalization expense was decreased 2893 RMB（5.11%） after ＂one-call activated system＂ implementation. Meanwhile, the in-hospital mortality for STEMI patients was reduced significantly. Conclusion Implementing the hospital ＂one-call activated system＂ was useful not only for rescue time and mortality in STEMI patients, but also one effective method to control medical expenses and service quality.
出处
《中国心血管病研究》
CAS
2015年第1期28-30,共3页
Chinese Journal of Cardiovascular Research
关键词
一键启动
急性心肌梗死
胸痛中心
One-call activated system
Acute ST-elevated myocardial infarction
Chest pain center
