The impact of chest pain center on treatment delay of STEMI patients: a time series study

Abstract Objective To study the effect of the establishment of a Chest Pain Center (CPC) on the treatment delay of ST-elevation myocardial infarction (STEMI) patients and the influencing factors of treatment delay in a large hospital in China. Methods The study subjects are 318 STEMI patients admitt...

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Autores principales:	Xiaolin Sun, Bo Yao, Kexin Shi, Yajiong Xue, Huigang Liang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	ST segment elevation myocardial infarction Chest pain center Treatment delay Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/8e6b78ac6f1c4144916e9bfb3cebdc74
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spelling	oai:doaj.org-article:8e6b78ac6f1c4144916e9bfb3cebdc742021-11-08T10:45:16ZThe impact of chest pain center on treatment delay of STEMI patients: a time series study10.1186/s12873-021-00535-y1471-227Xhttps://doaj.org/article/8e6b78ac6f1c4144916e9bfb3cebdc742021-11-01T00:00:00Zhttps://doi.org/10.1186/s12873-021-00535-yhttps://doaj.org/toc/1471-227XAbstract Objective To study the effect of the establishment of a Chest Pain Center (CPC) on the treatment delay of ST-elevation myocardial infarction (STEMI) patients and the influencing factors of treatment delay in a large hospital in China. Methods The study subjects are 318 STEMI patients admitted between August 2016 and July 2019 to a large general hospital in Henan, China. Data were extracted from the electronic medical records after removing personal identifiable information. The interrupted time series regression was used to analyze the treatment delay of patients before and after the CPC establishment. Results After the CPC establishment, the patients’ pre-hospital and in-hospital treatment delays were significantly reduced. SO-to-FMC (Symptom Onset to First Medical Contact time) decreased by 49.237 min and D-to-B (Door to Balloon time) decreased by 21.931 min immediately after the CPC establishment. In addition, SO-to-FMC delay is significantly correlated with age, occupation, nocturnal onset, and the way to hospital. D-to-B delay is significantly associated with time from initial diagnosis to informed consent of percutaneous coronary intervention (PCI), catheterization lab activation time, and time for PCI informed consent. Conclusion The CPC significantly reduced the treatment delay of STEMI patients undergoing PCI.Xiaolin SunBo YaoKexin ShiYajiong XueHuigang LiangBMCarticleST segment elevation myocardial infarctionChest pain centerTreatment delaySpecial situations and conditionsRC952-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENBMC Emergency Medicine, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ST segment elevation myocardial infarction Chest pain center Treatment delay Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	ST segment elevation myocardial infarction Chest pain center Treatment delay Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Xiaolin Sun Bo Yao Kexin Shi Yajiong Xue Huigang Liang The impact of chest pain center on treatment delay of STEMI patients: a time series study
description	Abstract Objective To study the effect of the establishment of a Chest Pain Center (CPC) on the treatment delay of ST-elevation myocardial infarction (STEMI) patients and the influencing factors of treatment delay in a large hospital in China. Methods The study subjects are 318 STEMI patients admitted between August 2016 and July 2019 to a large general hospital in Henan, China. Data were extracted from the electronic medical records after removing personal identifiable information. The interrupted time series regression was used to analyze the treatment delay of patients before and after the CPC establishment. Results After the CPC establishment, the patients’ pre-hospital and in-hospital treatment delays were significantly reduced. SO-to-FMC (Symptom Onset to First Medical Contact time) decreased by 49.237 min and D-to-B (Door to Balloon time) decreased by 21.931 min immediately after the CPC establishment. In addition, SO-to-FMC delay is significantly correlated with age, occupation, nocturnal onset, and the way to hospital. D-to-B delay is significantly associated with time from initial diagnosis to informed consent of percutaneous coronary intervention (PCI), catheterization lab activation time, and time for PCI informed consent. Conclusion The CPC significantly reduced the treatment delay of STEMI patients undergoing PCI.
format	article
author	Xiaolin Sun Bo Yao Kexin Shi Yajiong Xue Huigang Liang
author_facet	Xiaolin Sun Bo Yao Kexin Shi Yajiong Xue Huigang Liang
author_sort	Xiaolin Sun
title	The impact of chest pain center on treatment delay of STEMI patients: a time series study
title_short	The impact of chest pain center on treatment delay of STEMI patients: a time series study
title_full	The impact of chest pain center on treatment delay of STEMI patients: a time series study
title_fullStr	The impact of chest pain center on treatment delay of STEMI patients: a time series study
title_full_unstemmed	The impact of chest pain center on treatment delay of STEMI patients: a time series study
title_sort	impact of chest pain center on treatment delay of stemi patients: a time series study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/8e6b78ac6f1c4144916e9bfb3cebdc74
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The impact of chest pain center on treatment delay of STEMI patients: a time series study

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