Knowledge Network Node
Chinese Heart Journal. 2012, (01)

Assessment of the clinical pathway effect for acute myocardial infarctionChinese Full Text

TUO Wen,SUN Min,XU Kai,XING Er-ke,GUO Hong,ZHANG Hui-jun,LIANG Ze-min(Baoji Cardiology Center of Diagnosis and Treatment,Baoji Hospital of Traditional Chinese Medicine,Baoji 721001,Shaanxi,China)

Abstract: AIM:To optimize the diagnosis and treatment process,narrow the gap between clinical medicine and evidence-based medicine,improve the quality of diagnosis and treatment,reduce medical expenses,use limited medical service resources reasonably and offer patients the highest benefit.METHODS:According to ACC/AHA and Chinese acute coronary syndrome diagnosis and treatment guidelines,we developed our AMI clinical pathway and implemented its use in our hospital.Every 6 months an evaluation of the clinical pathway implemented was conducted in 76 AMI patients（admitted from October 2006 to March 2008） as a baseline before the implementation and 98 AMI patients（admitted from April 2008 to September 2009） after the implementation.RESULTS:After implementation of the clinical pathway,hospitalization time was significantly shortened,with a 3.5-day reduction in ST segment elevation myocardial infarction（STEMI） patients and 6.14-day reduction in non-STEMI patients（P＜0.05）.The rate of high-risk patients undergoing coronary angiography increased from 48% to 78%（P＜0.01）,whereas the "door-to balloon"（DB） time of STEMI patients decreased by 43%（P＜0.01）.The rate of early reperfusion in STEMI patients arriving at the hospital within 12 h was enhanced from 67% to 87%,combined use of ACEI/ARB markedly increased（P＜0.05） and mortality rate in AMI patients decreased by 9.8%（P＜0.05）.CONCLUSION:Implementation of the clinical pathway for AMI patients greatly reduces hospitalization days,decreases DB time,increases proportion of emergency PCI for STEAMI patients and significantly reduces mortality rate.
Keywords：

AMI; clinical pathway; early reperfusion therapy; hospitalization days; survival;

  • DOI：

    10.13191/j.chj.2012.01.52.tuow.013

  • Series：

  • Subject：

  • Classification Code：

    R542.22

  • Mobile Reading
    Read on your phone instantly
    Step 1

    Scan QR Codes

    "Mobile CNKI-CNKI Express" App

    Step 2

    Open“CNKI Express”

    and click the scan icon in the upper left corner of the homepage.

    Step 3

    Scan QR Codes

    Read this article on your phone.

  • HTML
  • CAJ Download
  • PDF Download

Download the mobile appuse the app to scan this coderead the article.

Tips: Please download CAJViewer to view CAJ format full text.

Download: 286 Page: 46-49 Pagecount: 4 Size: 112K

Related Literature
  • Similar Article
  • Reader Recommendation
  • Associated Author