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2020 年至 2023 年期间通过院前急救服务转诊的心脏患者的急救服务和心血管结局的及时性分析:伊朗的一项横断面研究。

A timeliness analysis of emergency services and cardiovascular outcomes in cardiac patients referred through prehospital emergency services between 2020 and 2023: a cross-sectional study in Iran.

机构信息

Student Research Committee, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.

Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.

出版信息

BMC Res Notes. 2024 Sep 5;17(1):250. doi: 10.1186/s13104-024-06922-5.

DOI:10.1186/s13104-024-06922-5
PMID:39237991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11378617/
Abstract

OBJECTIVE

Effective time management is crucial for the survival of all patients, particularly those with cardiovascular conditions. This is especially true in the context of pre-hospital emergency services, where prompt intervention can significantly impact outcomes. This study delves into the timeliness of emergency services and the subsequent outcomes for hospitalized cardiovascular patients in EMS center in Fasa University of Medical Sciences, southern Iran.

RESULTS

A total of 4972 emergency calls related to cardiac diagnoses were received between 2020 and 2023. The transport time was significantly correlated with age, location of the mission, and type of mission. Of the total, 86 underwent angioplasty within the standard time of less than 90 min, of which 81 were discharged and 5 died. 51 patients underwent angioplasty after more than 90 min, of which 47 were discharged and 4 died. In addition, 124 of these patients experienced cardiopulmonary resuscitation, of which 63 were successful and 61 were unsuccessful.

摘要

目的

有效的时间管理对于所有患者的生存至关重要,特别是心血管疾病患者。在院前急救服务中,这一点尤为重要,因为及时干预可以显著影响治疗结果。本研究深入探讨了伊朗南部法萨大学医学科学 EMS 中心住院心血管患者的急救服务及时性及其后续结果。

结果

2020 年至 2023 年期间,共收到 4972 例与心脏诊断相关的紧急呼叫。转运时间与年龄、任务地点和任务类型显著相关。在总共 86 例在 90 分钟内进行了标准时间内的血管成形术的患者中,有 81 例出院,5 例死亡。51 例患者在 90 分钟后进行了血管成形术,其中 47 例出院,4 例死亡。此外,这些患者中有 124 例接受了心肺复苏,其中 63 例成功,61 例失败。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdf/11378617/8d28033eab5b/13104_2024_6922_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdf/11378617/8d28033eab5b/13104_2024_6922_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdf/11378617/8d28033eab5b/13104_2024_6922_Fig1_HTML.jpg

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本文引用的文献

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Shorter door-to-balloon time, better long-term clinical outcomes in ST-segment elevation myocardial infarction patients: J-MINUET substudy.门球时间更短,ST 段抬高型心肌梗死患者的长期临床结局更好:J-MINUET 亚研究。
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