Trifan Angel Liviu, Dragomir Liliana, Anghele Mihaela, Elkan Eva Maria, Munteanu Sorina, Moscu Cosmina, Stoian Valerian-Ionuț, Telehuz Anca, Zlati Monica Laura, Lungu Mihaiela, Voinescu Doina Carina, Cimpoesu Diana Carmen, Stoleriu Gabriela, Sandu Ion, Sapira Violeta
Medical Department, Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Research Center in the Field of Social Sciences, "Stefan cel Mare" University, 720229 Suceava, Romania.
Healthcare (Basel). 2021 Mar 8;9(3):299. doi: 10.3390/healthcare9030299.
The aim of this study was to assess the delays that can potentially occur in the emergency transfer of patients with ST-elevation myocardial infarction (STEMI) to percutaneous coronary intervention (PCI) centers. We conducted a retrospective study using the medical reports pertaining to 97 patients who presented to the Emergency Department of the Emergency County Hospital of Galati during the year of 2018 with the diagnosis of STEMI and meeting eligibility criteria for PCI, thus warranting transfer to a hospital with PCI facilities. The pick-up time of patients diagnosed with acute myocardial infarction from the emergency department by the transfer crew is significantly shorter ( < 0.05) than those transferred by air, regardless of the PCI center to which the transfer was performed, Iasi or Bucharest, when compared to the time required to process the patients transferred by land to the same PCI centers. The results of the study shows that the helicopter use for transferring acute myocardial infarction patients to a PCI center must be considered, given the distance between non-PCI and PCI centers is over 200 km.
本研究的目的是评估ST段抬高型心肌梗死（STEMI）患者紧急转运至经皮冠状动脉介入治疗（PCI）中心时可能出现的延误情况。我们进行了一项回顾性研究，使用了2018年期间在加拉茨县急救医院急诊科就诊的97例诊断为STEMI且符合PCI资格标准、因此需要转运至具备PCI设施医院的患者的医疗报告。无论转运至哪个PCI中心（雅西或布加勒斯特），与通过陆路转运至相同PCI中心的患者所需处理时间相比，转运人员从急诊科接走诊断为急性心肌梗死患者的时间显著更短（<0.05）。研究结果表明，考虑到非PCI中心与PCI中心之间的距离超过200公里，必须考虑使用直升机将急性心肌梗死患者转运至PCI中心。
