远程心电图会诊触发快速反应机制对花都区急性心肌梗死患者救治效率及预后影响的研究

A study on the impact of remote electrocardiogram consultation triggering rapid response mechanism on the treatment efficiency and prognosis of acute myocardial infarction patients in Huadu District

目的探讨远程心电图会诊触发快速反应机制对花都区急性ST段抬高型心肌梗死(STEMI)患者救治效率及预后的影响。方法收集2022年1月-2023年1月广州市花都区人民医院收治的经远程心电图会诊触发快速反应机制证实诊断入院治疗的59例STEMI患者资料,纳入医疗集团组,另收集同期医院未经远程心电图会诊触发快速反应机制入院治疗的62例STEMI患者资料,纳入自行来院组。比较两组患者一般资料、救治时间指标、社会经济效益指标、主要不良心血管事件发生情况以及术后1年累积生存情况。结果与自行来院组患者比,医疗集团组发病至首次医疗接触(S2FMC)时间、发病至球囊扩张(S2B)时间、首次医疗接触至球囊扩张(FMC2B)时间以及进门至球囊扩张(D2B)时间较短(P<0.05);对比两组住院时间,差异无统计学意义(P>0.05);与自行来院组患者比,医疗集团组住院费用较少(P<0.05);与自行来院组患者比,医疗集团组住院期间主要不良心血管事件发生率较低(P<0.05);运用Log rank法检验两组PCI术后1年生存差异,结果发现,两组术后1年生存时间对比,差异无统计学意义(χ^(2)=0.071,P=0.790)。结论远程心电图会诊触发快速反应机制可缩短STEMI患者救治时间,减少住院期间不良心血管事件的发生,改善患者短期预后,且患者住院费用相对减少。

Objective To explore the impact of remote electrocardiogram consultation triggering rapid response mechanism on the treatment efficiency and prognosis of acute ST segment elevation myocardial infarction(STEMI)patients in Huadu District.Methods A retrospective study was conducted to collect data from 59 STEMI patients admitted to Huadu District People’s Hospital of Guangzhou from January 2022 to January 2023,who were confirmed to have been diagnosed and treated through remote electrocardiogram consultation triggered rapid response mechanism.They were included in the medical group,and 62 STEMI patients admitted to the hospital without remote electrocardiogram consultation triggered rapid response mechanism during the same period were also collected and included in the self admission group.The general information,treatment time indicators,socio-economic benefits indicators,incidence of major adverse cardiovascular events,and cumulative one-year survival after surgery were compared between two groups of patients.Results Compared with patients in the self admission group,the medical group had shorter onset to first medical contact(S2FMC),onset to balloon dilation(S2B),first medical contact to balloon dilation(FMC2B),and entry to balloon dilation(D2B)times(P<0.05).There was no statistical significant difference in hospital stay between the two groups(P>0.05).Compared with patients in the self admission group,the medical group had lower hospitalization costs(P<0.05).Compared with patients in the self admission group,the medical group had a lower incidence of major adverse cardiovascular events during hospitalization(P<0.05).Log rank method was used to test the 1-year survival difference between the two groups after PCI,and the results showed that there was no statistical significant difference in 1-year survival time between the two groups(χ^(2)=0.071,P=0.790).Conclusion Remote electrocardiogram consultation triggering rapid response mechanism can shorten the treatment time of STEMI patients,reduce the occurrence of adverse cardiovascular events during hospitalization,improve short-term prognosis of patients,and relatively reduce hospitalization costs.