"Floreasca" Emergency Hospital, Bucharest, Romania.
EuroIntervention. 2012 Aug;8 Suppl P:P126-32. doi: 10.4244/EIJV8SPA22.
A national programme for PPCI in STEMI patients was started in Romania in August 2010, based on an integrated and well-trained pre-hospital emergency medical system. Ten national centres experienced in PPCI were organised in a 24/7 system in five regional networks, in order to assist STEMI patients from areas offering PPCI within the first two hours after the first medical contact. For centres located further away, a strategy of local thrombolysis followed by transfer to the closest PCI centre was recommended. The total number of PPCI procedures increased from 1,289 in 2010 to 4,209 in 2011. The percentage of PPCI increased from 25.0% in 2010 to 49.32% in 2011. From 40 PPCI/million inhabitants in 2009, we reached 64/million in 2010 and 210/ million in 2011. In the Bucharest area there were 640 PPCI/ million in 2011. The global in-hospital mortality decreased from 13.5% in 2009 to 9.93% in 2011. In 2011 in-hospital mortality was 4.39%, 8.32% and 17.11% for PPCI, thrombolysis and no-reperfusion, respectively. In-hospital mortality was 7.28% in the PCI centres but 14.20% in centres without PCI facilities. The national programme for PPCI had a major impact on STEMI in-hospital mortality in Romania.
2010 年 8 月，罗马尼亚启动了一项针对 STEMI 患者的 PPCI 国家计划，该计划基于综合且训练有素的院前急救医疗系统。10 个有经验的全国 PPCI 中心以 24/7 系统组织起来，分为五个区域网络，以便在首次医疗接触后两小时内为提供 PPCI 的地区的 STEMI 患者提供帮助。对于距离较远的中心，建议采用局部溶栓后转至最近的 PCI 中心的策略。2010 年，PPCI 手术总数从 1289 例增加到 2011 年的 4209 例。2010 年 PPCI 比例从 25.0%上升到 2011 年的 49.32%。2009 年每 40 万人中有 64 人接受 PPCI，2010 年达到 210 人，2011 年达到 640 人。2011 年，布加勒斯特地区每 100 万人中有 640 人接受 PPCI。院内总死亡率从 2009 年的 13.5%下降到 2011 年的 9.93%。2011 年，PPCI、溶栓和无再灌注的院内死亡率分别为 4.39%、8.32%和 17.11%。在 PCI 中心，院内死亡率为 7.28%，而在没有 PCI 设施的中心，死亡率为 14.20%。PPCI 国家计划对罗马尼亚 STEMI 院内死亡率产生了重大影响。
