[在工作时间内或工作时间外的初级穿皮冠状动脉干预:单一中心5年经验]
Fernando Mané1, Rui Flores1, Rodrigo Silva1
1Cardiologia, Hospital de Braga, Braga, Portugal Cardiologia Hospital de Braga Braga Portugal.
REC, interventional cardiology
|May 26, 2025
概括
ST段升高心肌梗塞 (STEMI) 患者进入皮肤冠状动脉干预 (PCI) 中心的入院时间没有影响再输血时间或死亡率. 这一发现表明,当前的急救网络可以有效地管理STEMI护理,无论入院时间如何.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在ST段升高心肌梗塞 (STEMI) 治疗延迟显著影响患者的结果.
- 住院时间对STEMI患者的结果的影响,特别是皮肤穿冠状动脉干预 (PCI),仍然不清楚.
研究的目的:
- 调查STEMI患者入院时间和PCI中心的结果之间的关联.
- 为了确定在工作时间内或工作时间以外的入院是否会影响再注血延迟和死亡率.
主要方法:
- 对1222名接受PCI治疗的STEMI患者进行了回顾性队列研究.
- 定义的上班时间为周一至周五,上午8点至下午6点,不包括国定假日.
- 基线特征,再输血时间,住院死亡率和在上班时间和下班时间之间的一年死亡率的比较.
主要成果:
- 36%的患者在工作时间内入院,64%在工作时间外入院,基线特征平衡.
- 在上班时间 (120分钟) 和下班时间 (123分钟) 的入院之间,中位再注血时间没有显著差异.
- 没有发现入院时间和住院时间 (5%与5%) 或一年死亡率 (10%与10%) 之间的关联.
结论:
- 进入PCI中心的时间与STEMI患者的再输血延迟无关.
- STEMI患者入院的时间与增加的住院或1年死亡率无关.
- 当代的应急网络似乎可以提供一致的STEMI护理,无论入院时间安排如何.
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