Elhihi Ebtisam A, Alasmari Faisal A, Abdel Rahman Omar K, Almoallad Fahad T, Alsalhi Reem A, Alosaimi Shuruq F, Alhazmi Faisal M, Hawsawei Marwan S, Alasmari Ziyad A
Nursing Research and Evidence-Based Practice Department King Abdullah Medical City, Makkah, Saudi Arabia.
Cardiac Care Unit King Abdullah Medical City, Makkah, Saudi Arabia.
Nurs Res Pract. 2024 Aug 31;2024:9823144. doi: 10.1155/2024/9823144. eCollection 2024.
The acute myocardial infarction mortality risk rises by 8% per year for every 30-minute delay in early coronary intervention following the onset of symptoms. Thus, it is important to reduce the door-to-balloon time as much as possible, especially in hospitals where early coronary intervention is carried out within 90 minutes.
The purpose of this study was to determine the impact of King Abdullah Medical City's strategies on balloon time for patients with ST elevation myocardial infraction.
Prospective observational research was conducted in King Abdullah Medical City. This study included 67 patients who had a primary percutaneous coronary intervention. Data were collected in Hajj 2023 through direct observation using a checklist that included two parts: (I) patients' demographic characteristics and relevant time intervals. The data were analyzed using descriptive statistics (frequency and percentage; median and interquartile range) and inferential statistics (Mann-Whitney test, Kruskal-Wallis H test, Spearman correlation coefficient test).
It was noted that the median overall door-to-balloon time was 68 minutes for direct admission patients and 100 minutes (median) for interhospital transferred patients, with a statistically significant value of 0.001. DTBT had no significant correlation with either the length of stay or hospital mortality rates ( > 0.05).
King Abdullah Medical City accomplished an international benchmark in door-to-balloon time for ST elevation myocardial infraction patients visiting the hospital for percutaneous coronary intervention during the hajj season. Healthcare organizations can take proactive steps to optimize the management of STEMI cases. This includes establishing efficient communication channels, standardizing protocols, and facilitating seamless transitions between healthcare facilities.
症状发作后，早期冠状动脉介入治疗每延迟30分钟，急性心肌梗死死亡率每年上升8%。因此，尽可能缩短门球时间非常重要，尤其是在那些能在90分钟内进行早期冠状动脉介入治疗的医院。
本研究旨在确定阿卜杜拉国王医疗城的策略对ST段抬高型心肌梗死患者球囊时间的影响。
在阿卜杜拉国王医疗城进行前瞻性观察研究。本研究纳入了67例行直接经皮冠状动脉介入治疗的患者。2023年朝觐期间，通过使用包含两部分的检查表进行直接观察来收集数据：（I）患者的人口统计学特征和相关时间间隔。使用描述性统计（频率和百分比；中位数和四分位间距）和推断性统计（曼-惠特尼检验、克鲁斯卡尔-沃利斯H检验、斯皮尔曼相关系数检验）对数据进行分析。
注意到直接入院患者的总体门球时间中位数为68分钟，院间转诊患者为100分钟（中位数），统计学显著值为0.001。门球时间与住院时间或医院死亡率均无显著相关性（>0.05）。
阿卜杜拉国王医疗城在朝觐季节为因经皮冠状动脉介入治疗前来医院就诊的ST段抬高型心肌梗死患者的门球时间方面达到了国际基准。医疗机构可以采取积极措施优化STEMI病例的管理。这包括建立高效的沟通渠道、规范方案以及促进医疗机构之间的无缝衔接。
