摘要
目的对某三甲医院胸痛中心成立前后的急性心肌梗死住院患者的流行病学特征进行对比分析,为胸痛中心提高对急性心肌梗死患者的救治效率提供科学依据。方法回顾性调查该院胸痛中心成立前后10 a间收治的4 445例急性心肌梗死病例,分为成立前组(852例)及成立后组(3 593例),对其病案首页相关数据进行统计分析。结果胸痛中心成立后,联勤保障部队第九二〇医院年均收治AMI患者较成立前增加超过3倍。3个显著增加:通过急诊入院的患者显著增加(P <0.001);手术病例,特别是PCI病例占比显著提高,66.5%的患者植入一个及以上的血管支架(P <0.001);医保病人占比显著增加(P <0.001)。3个显著下降,死亡率显著下降(P <0.01);术前住院日显著下降(P <0.05);住院费用显著下降(P <0.001)。结论胸痛中心的建设,极大提高了医院对AMI患者救治的效率和质量。在对AMI患者救治中,应针对其流行病学特征,采取预防及控制措施。
Objective To provide scientific basis for improving the treatment efficiency of chest pain center for patients with acute myocardial infarction,comparing and analyzing the epidemiological characteristics of hospitalized patients with acute myocardial infarction before and after the establishment of chest pain center in a GradeⅢLevel A hospital.Methods A retrospective investigation was conducted on 4445 cases of acute myocardial infarction admitted to the chest pain center of the hospital before and after the establishment of the center in 10 years.Study subjects were divided into the pre-establishment group(852 cases)and the post-establishment group(3593 cases),and the relevant data on the first page of the medical records were statistically analyzed.Results After the establishment of chest pain center,the number of AMI patients admitted to the hospital increased by more than 3 times.There were significant increases in three important variables:the number of patients admitted through emergency care got significantly larger(P<0.001);the proportion of surgical cases,especially PCI cases,significantly increased(P<0.001),and 66.5%of patients were implanted with one or more stents(P<0.001);the proportion of patients who used national medical insurance increased significantly(P<0.001).There were significant increases in three important variables:the mortality rate among admitted patients decreased significantly(P<0.001);the length of hospital stay before operation reduced significantly(P<0.05);the cost of hospitalization has dropped significantly(P<0.05).Conclusions The construction of Chest Pain Center has greatly improved the efficiency and quality for AMI patients.In the treatment of AMI patients,preventive and control measures should be taken according to its epidemiological characteristics.
作者
张音
杨丽霞
陈燕
何佳璇
ZHANG Yin;YANG Li-xia;CHEN Yan;HE Jia-xua(Joint Logistic Support Force 920 th Hospital,Kunming Yunnan 650032,China)
出处
《昆明医科大学学报》
CAS
2021年第6期88-93,共6页
Journal of Kunming Medical University
基金
国家科技部重点研发计划专项子课题基金资助项目(2016YFC1301201)。
关键词
胸痛中心
急性心肌梗死
流行病学
统计分析
Chest Pain Center
Acute myocardial infarction
Epidemiology
Statistic analysis
