Galimidi J, Tamir A, Egoz N
Harefuah. 1989 Feb 15;116(4):199-202.
140 consecutive patients with MI, all those admitted during 1 month to 3 general hospitals in Haifa, were interviewed and their records reviewed. Only 17.3% had been transferred by a mobile coronary care unit (MCCU). The rates of utilization were lower among residents of the Mount Carmel area and among those hospitalized in Carmel Hospital. Those of European origin used MCCU less than those of Asian-African origin. The rate of usage was inversely related to the level of education. Multivariate analysis showed that the continent of origin explained the largest proportion of the variance. Age of patient and day of week were not of significance. Patients who had had a previous coronary event used the MCCU more than those had not. Only 13% referred to hospitals by physicians in the community were transferred by MCCU, in contrast to 33% of those referred by Magen David Adom stations. 67% of the patients had prior knowledge of the MCCU, but this was not associated with rate of usage. We conclude that the use of the MCCU in the Haifa area is not consistent with its original objectives. The reasons are both patient- and service-related.
对140例心肌梗死患者进行了访谈并查阅了他们的病历，这些患者均为在海法市3家综合医院1个月内收治的连续病例。只有17.3%的患者是由移动冠心病监护病房（MCCU）转运的。卡梅尔山地区居民以及在卡梅尔医院住院的患者的利用率较低。欧洲裔患者使用MCCU的比例低于亚非裔患者。使用率与教育水平呈负相关。多变量分析表明，患者的祖籍对差异的解释比例最大。患者年龄和星期几并不显著。既往有冠心病事件的患者比没有的患者更多地使用MCCU。社区医生转诊至医院的患者中只有13%是由MCCU转运的，相比之下，由红色大卫盾会急救站转诊的患者中这一比例为33%。67%的患者事先了解MCCU，但这与使用率无关。我们得出结论，海法地区MCCU的使用情况与其最初目标不一致。原因既有患者相关的，也有服务相关的。
