[1]张玉玫 熊波 成联超 叶滔 童兰 王燕凤 刘汉雄 蔡琳.急性心肌梗死患者院前延误相关因素分析[J].心血管病学进展,2020,(7):759-764.[doi:10.16806/j.cnki.issn.1004-3934.2020.07.021]
　(. 00. 00.1 2 1 2 1 1 2 1,2[J].Advances in Cardiovascular Diseases,2020,(7):759-764.[doi:10.16806/j.cnki.issn.1004-3934.2020.07.021]
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急性心肌梗死患者院前延误相关因素分析()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年7期
页码:
759-764
栏目:
出版日期:
2020-07-25

文章信息/Info

Title:
1 2 1 2 1 1 2 1,2
作者:
张玉玫 熊波 成联超 叶滔 童兰 王燕凤 刘汉雄 蔡琳
(1.西南交通大学临床医学院,四川 成都610031;2.西南交通大学附属成都市第三人民医院心内科 四川 成都610031)
Author(s):
(1. 6100312. 61003
1) Analysis of Factors Related to Pre-hospital Delay in Treatment of Patients with Acute Myocardial Infarction ZHANG Yumei1XIONG Bo2CHENG Lianchao1YE Tao2TONG Lan1WANG Yanfeng1LIU Hanxiong2CAI Lin1,2 College of Clinical Medicine, Southwest Jiaotong University, Chengdu 610031, Sichuan, China; 2. Department of Cardiology, The Third People’s Hospital of Chengdu, The Affiliated Hospital of Southwest Jiaotong University, Chengdu 610031, Sichuan, China)
Keywords:
Acute myocardial infarction;  Pre-hospital delay;  Influencing factors
DOI:
10.16806/j.cnki.issn.1004-3934.2020.07.021
Abstract:
Objective To analyze the pre-hospital delay of patients with acute myocardial infarction and to explore the influencing factors of pre-hospital delay. Methods A total of 2 121 patients with acute myocardial infarction who were admitted to hospital in Chengdu area from January 2017 to June 2019 were enrolled. The pre-hospital delay was divided into≤180 min group and＞180 min group to analyze the pre-hospital delay of patients with acute myocardial infarction. Multivariate logistic regression models were used to analyze the influencing factors. Results The median delay of pre-hospital delay was 215 min in all patients. 44.10% of patients had pre-hospital delay≤180 min, the median was 90 min, and the in-hospital mortality was 5.4%. The multivariate logistic regression analysis of hyperhidrosis symptoms(OR 1.228, 95% CI 1.006～1.500), age(OR 0.763, 95% CI 0.633～0.921), admission method(120 admission: OR 3.571, 95% CI 2.133～5.978), NSTEMI(OR 0.497, 95% CI 0.361～0.683) is an independent factor of pre-hospital delay. Conclusion Pre-hospital delays in patients with acute myocardial infarction need to be further improved. It is necessary to improve the vigilance of patients with atypical symptoms and out-of-hospital referrals, shorten the delay before hospitalization, and improve the treatment efficiency of patients with acute myocardial infarction

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备注/Memo

备注/Memo:
基金项目：四川省科技计划项目应用基础研究（2018JY0126）
更新日期/Last Update: 2020-10-10