Process Factors Affecting Door to Percutaneous Coronary Intervention for Acute Myocardial Infarction Patients

被引：6

作者：

Horst, Michael A. ^{[1
]}

Stuart, Jennifer J. ^{[1
,2
,3
]}

McKinsey, Nichole ^{[1
,4
]}

Gambler, Angela S. ^{[1
]}

机构：

[1] Lancaster Gen Hosp, Lancaster Gen Res Inst, Lancaster, PA 17604 USA

[2] Franklin & Marshall Coll, Lancaster, PA 17604 USA

[3] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA

[4] Midwestern Univ, Arizona Coll Osteopath Med, Glendale, AZ USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2012年 / 27卷 / 01期

关键词：

acute myocardial infarction; percutaneous coronary intervention; time to reperfusion; performance improvement; TO-BALLOON TIME; MORTALITY; RECOMMENDATIONS; REPERFUSION; OUTCOMES; TRIALS; SYSTEM; STEMI; CARE;

D O I：

10.1177/1062860611409199

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The purpose of this cross-sectional study was to identify key predictor variables with the most impact on door-to-balloon time for acute myocardial infarction patients. The authors examined arrival, process, and patient-related variables from retrospective data from calendar years 2006 and 2007 within a single community hospital (N = 273). The door-to-balloon time ranged from 28 to 167 minutes, with an average of 76.77 (standard deviation +/- 24.5) minutes. Key predictor variables identified through multivariate linear regression included portable chest X-ray, presentation from walk-in versus ambulance, responding cardiology group, emergency department (ED) time of arrival (day 8 am to 5 pm or night 5 pm to 8 am), ED day of arrival (weekday or weekend), if a code R was called prior to arrival, and if the patient was identified as having chest pain on admission to the ED. For patients with acute myocardial infarction at a single study site, the authors identified a number of key factors that delay prompt reperfusion.

引用

页码：16 / 20

页数：5

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