葡萄牙的生命支架计划:多年来的进展和COVID-19的影响
Ernesto Pereira1,2,3, Rita Calé3, Ângela Maria Pereira4,5,6
1ISCTE-Instituto Universitário de Lisboa, Lisboa, Portugal.
PloS one
|October 25, 2023
概括
公众宣传活动改善了ST升高心肌梗塞 (STEMI) 患者的行为,增加了紧急呼叫,减少了非初级PCI访问. 然而,STEMI治疗的延迟仍然存在,可能是由于运动的有效性和COVID-19的影响.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 葡萄牙的Stent for Life倡议旨在改善ST升高心肌梗塞 (STEMI) 治疗.
- 积极的变化包括增加了初级血管造形术和改善了患者的反应,例如拨打紧急服务.
- 然而,STEMI治疗的患者和系统延迟并没有显著减少.
研究的目的:
- 评估公众意识运动在STEMI活动期间公众行为的有效性.
- 评估COVID-19大流行对STEMI治疗方案和结果的影响.
主要方法:
- 从2011年到2016年以及2020年葡萄牙COVID-19封锁期间,对1381名STEMI患者的数据进行了回顾性分析.
- 患者根据治疗年份分为四组:A组 (2011年),B组 (2012-2013年),C组 (2015-2016年) 和D组 (2020年).
主要成果:
- 在各组 (35.2%至49.6%) 中,观察到患者致电紧急服务 (112) 的数量显著增加.
- 观察到非初级皮肤冠状动脉干预 (PPCI) 中心的患者显著减少 (54.5%至40.9%).
- 从症状发作到再输血的总缺血时间逐渐从A组的250分钟增加到D组的296分钟,而C组和D组之间存在显著差异.
结论:
- 葡萄牙的公众宣传活动导致了患者行为改善,更多的人拨打紧急服务,更少的人去非PCI中心.
- 尽管行为改善,但整体STEMI治疗延迟并没有显著减少,可能是由于竞选限制和2020年COVID-19大流行的影响.
- 需要进一步的策略,以有效地减少患者和系统在STEMI管理中的延迟.
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