Pre-hospital cardiac catheterization laboratory activation by WeChat in community hospital for seamless transfer bypassing emergency department in patients with acute myocardial infarction

doi:10.3969/j.issn.1006-7795.2017.03.013

Abstract

Abstract: Objective To evaluate the impact of pre-hospital cardiac catheterization laboratory (CCL) activation by WeChat group in community hospital without percutaneous coronary intervention (PCI) capability for seamless transfer bypassing emergency department on reperfusion time in ST-segment elevation myocardial infarction (STEMI) patients. Methods A regional collaborative network based on Wechat group was developed, consisting of a PCI center,emergency medical service (EMS) and over 20 Non-PCI capacity hospitals. One hundred STEMI patients with pre-hospital 12-lead electrocardiogram transmission and confirmed by teleconsultation via WeChat, initially seen in a community or non-PCI-capable hospital were enrolled in this retrospectively study from July 2015 to July 2016. Two groups were divided:CCL group had 48 patients taken by EMS and transferred directly to CCL, control group had 52 patients who transferred by EMS to emergency department before CCL arrival. FMC2D times,D2D times and mortality rate in hospital between two groups were compared. Results The baseline clinical data and angiographic features among 2 groups were similar (all P>0.05).Compared to control group, CCL group has shortened FMC2D time (98.0 min vs 151.4 min,P<0.001), shortened D2D time (21.7 min vs 54.0 min,P<0.001). More patients in CCL group meet the standard of guideline for FMC2D time(60.4% vs 25.0%,P<0.001). There was no difference of the Mortality rate (4.17% vs 3.85%, P>0.05) in hospital between two groups. Conclusion Direct transfer of STEMI patients to the CCL for primary PCI was associated with shorter FMC2D and D2D time and results in a greater proportion of patients meeting guideline recommendations.

Key words: percutaneous coronary intervention, transfer, myocardial infarction

CLC Number:

R542.2

Wang Guozhong, Hua Qi, Liu Zijing, Hao Minghui, Xu Rong, Zhang Libin, Chen Wenming, Guo Jincheng. Pre-hospital cardiac catheterization laboratory activation by WeChat in community hospital for seamless transfer bypassing emergency department in patients with acute myocardial infarction[J]. Journal of Capital Medical University, 2017, 38(3): 391-396.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.03.013

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I3/391

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