Effect of Establishment of Chest Pain Center on the Treatment Efficiency of Acute Myocardial Infarction

Yin ZHANG; Li-xia YANG; Yan CHEN; Jia-xua HE

doi:10.12259/j.issn.2095-610X.S20210644

Volume 42 Issue 6

Jul. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(6): 88-93

Yin ZHANG, Li-xia YANG, Yan CHEN, Jia-xua HE. Effect of Establishment of Chest Pain Center on the Treatment Efficiency of Acute Myocardial Infarction[J]. Journal of Kunming Medical University, 2021, 42(6): 88-93. doi: 10.12259/j.issn.2095-610X.S20210644

Citation:

Yin ZHANG, Li-xia YANG, Yan CHEN, Jia-xua HE. Effect of Establishment of Chest Pain Center on the Treatment Efficiency of Acute Myocardial Infarction[J]. Journal of Kunming Medical University, 2021, 42(6): 88-93. doi: 10.12259/j.issn.2095-610X.S20210644

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Effect of Establishment of Chest Pain Center on the Treatment Efficiency of Acute Myocardial Infarction

doi: 10.12259/j.issn.2095-610X.S20210644

Joint Logistic Support Force 920 th Hospital，Kunming Yunnan 650032，China

Received Date: 2021-03-17
Publish Date: 2021-06-25

Abstract

Abstract

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 Grade III Level 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.
- Chest Pain Center,
- Acute myocardial infarction,
- Epidemiology,
- Statistic analysis

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References(26)

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