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Original Research

Open Access

Investigating the efficacy of pre-hospital and in-hospital collaborative treatment platform connected with 120-ambulance in the treatment of patients with acute myocardial infarction

  • Mingqiang Gao1
  • Jie Shen1,*,
  • Weichun Mo1,*,

1Center of Emergency & Intensive Care Unit, Jinshan Hospital, Fudan University, 201508 Shanghai, China

DOI: 10.22514/sv.2024.058 Vol.20,Issue 5,May 2024 pp.62-67

Submitted: 06 February 2024 Accepted: 02 April 2024

Published: 08 May 2024

*Corresponding Author(s): Jie Shen E-mail: assertive@zohomail.cn
*Corresponding Author(s): Weichun Mo E-mail: mwc_dr55@163.com

Abstract

This study aimed to examine the effectiveness of an integrated pre-hospital and in-hospital collaborative treatment platform connected with 120-ambulance in treating patients with acute myocardial infarction (AMI). 114 patients with AMI who were treated at our hospital within one year of the collaborative treatment model’s implementation were selected as the observation group (January 2022 to December 2022). A random selection of 114 cases treated using the conventional model from January 2020 to December 2020 was chosen as the control group. Control patients received conventional treatment, while observation patients received an integrated pre-hospital and in-hospital treatment. Comparisons of effects were made between the two treatment models for AMI patients. The observation group showed significantly lower first medical contact (FMC) to balloon dilation (FMC-to-B), door-to-balloon (D-to-B), and chest pain onset to admission times than the control group. Across both groups, 99.12% of pre-hospital electrocardiography (ECGs) were completed (113/114), and a significantly higher proportion of patients with Killip class ≥II at immediate admission was observed in the observation group (p < 0.05). Observation group showed significantly higher Left Ventricular End-Systolic Volume (LVESV) and Left Ventricular End-Diastolic Volume (LVEDV) than control group (p < 0.05) one month after surgery. The 6-minute walking distance (6MWD) of the observation group was significantly longer than the control group, and the time taken for the 10-meter walking test was significantly shorter (p < 0.05). A significantly lower incidence rate of hospitalization complications occurred in the observation group (p < 0.05). The integrated pre-hospital and in-hospital treatment platform connected with 120-ambulance showed beneficial outcomes for AMI patients, significantly reducing treatment delay, improving postoperative cardiac function, and reducing postoperative complications, making it worthwhile for promotion in AMI clinical treatment.


Keywords

Integrated pre-hospital and in-hospital treatment model; 120-ambulance; Acute myocardial infarction


Cite and Share

Mingqiang Gao,Jie Shen,Weichun Mo. Investigating the efficacy of pre-hospital and in-hospital collaborative treatment platform connected with 120-ambulance in the treatment of patients with acute myocardial infarction. Signa Vitae. 2024. 20(5);62-67.

References

[1] Tanaka T, Li L, Dean SA, Kawai K, Kawakami R, Kutys R, et al. Spontaneous coronary artery dissection resulting in acute myocardial infarction with cardiac rupture. JACC: Case Reports. 2024; 29: 102196.

[2] Wang X, Chen D, Zou P, Zhang H, Qiu X, Xu L, et al. Understanding adaptive tasks in cardiac rehabilitation among patients with acute myocardial infarction: a qualitative study. Annals of Medicine. 2024; 56: 2311227.

[3] Simonyi G, Ferenci T, Finta E, Medvegy M. Five-year persistence of statins after acute myocardial infarction in statin-naïve patients. Orvosi Hetilap. 2024; 165: 171–176. (In Hungarian)

[4] Ho AFW, Zheng H, Ng ZHC, Pek PP, Ng BJH, Chin YH, et al. Incidence and long-term outcomes of acute myocardial infarction among survivors of out-of-hospital cardiac arrest. Journal of the American Heart Association. 2023; 13: e031716.

[5] Hou F, Xie T, Xi Y, Qian W, Liu X. Effect of comprehensive psychological intervention on negative emotions and quality of life in patients with acute myocardial infarction. International Heart Journal. 2023; 64: 986–992.

[6] Hanson ID, Rusia A, Palomo A, Tawney A, Pow T, Dixon SR, et al. Treatment of acute myocardial infarction and cardiogenic shock: outcomes of the recover III postapproval study by society of cardiovascular angiography and interventions shock stage. Journal of the American Heart Association. 2024; 13: e031803.

[7] Hoedemaker NPG, de Winter RJ, Kommer GJ, Giesbers H, Adams R, van den Bosch SE, et al. Expansion of off-site percutaneous coronary intervention centres significantly reduces ambulance driving time to primary PCI in the Netherlands. Netherlands Heart Journal. 2020; 28: 584–594.

[8] Yujuan C, Ying M, Lihui C. Application effect of prehospital-hospital integrated emergency nursing in patients with acute cerebral infarction. Biotechnology and Genetic Engineering Reviews. 2023; 1–13.

[9] Yang ZQ, Dong ST, Shao QY, Wang YF, Li QX, Liu ZQ, et al. Concomitant occurrences of pulmonary embolism and acute myocardial infarction in acute coronary syndrome patient undergoing percutaneous coronary intervention: a case report. Journal of Geriatric Cardiology. 2023; 20: 880–885.

[10] Chen S, Pan X, Mo J, Wang B. Establishment and validation of a prediction nomogram for heart failure risk in patients with acute myocardial infarction during hospitalization. BMC Cardiovascular Disorders. 2023; 23: 619.

[11] Inoue A, Mizobe M, Takahashi J, Funakoshi H. Factors for delays in door-to-balloon time ≤90 min in an electrocardiogram triage system among patients with ST-segment elevation myocardial infarction: a retrospective study. International Journal of Emergency Medicine. 2023; 16: 77.

[12] Mckew M. Delayed handovers leading to deaths, ambulance staff warn. Emergency Nurse. 2018; 26: 6.

[13] Lihui L, qing Y. Optimizing the prehospital-hospital emergency care path application value in emergency treatment of patients with cerebral hemorrhage. Journal of Healthcare Engineering. 2021; 2021: 2352208.

[14] Jamshidi H, Jazani RK, Alibabaei A, Alamdari S, Kalyani MN. Challenges of cooperation between the pre-hospital and in-hospital emergency services in the handover of victims of road traffic accidents: a qualitative study. Nursing research and education. 2019; 37: e08.

[15] Isgrò S, Giani M, Antolini L, Giudici R, Valsecchi MG, Bellani G, et al. Identifying trauma patients in need for emergency surgery in the prehospital setting: the prehospital prediction of in-hospital emergency treatment (PROPHET) study. Journal of Clinical Medicine. 2023; 12: 6660.

[16] Yekefallah L, Pournorooz M, Noori H, Alipur M. Evaluation of door-to-balloon time for performing primary percutaneous coronary intervention in ST-segment elevation myocardial infarction patients transferred by pre-hospital emergency system in Tehran. Iranian Journal of Nursing and Midwifery Research. 2019; 24: 281–285.

[17] Tan P, Li S, Zhang Q, Liu X, Tang F, Liu C. Role of pre-hospital emergency medical systems in the rescue of patients with ST-elevation myocardial infarction. Technology and Health Care. 2023; 31: 2331–2338.

[18] Wu Y, Yang Y, Guo X, Guo D, Lu Y, Li G, et al. Effect of pre-hospital early intervention combined with an in-hospital emergency model in the emergency care of patients with acute stroke. American Journal of Translational Research. 2022; 14: 672–678.

[19] Jansson J, Larsson M, Nilsson J. Advanced paramedics and nurses can deliver safe and effective pre-hospital and in-hospital emergency care: an integrative review. Nursing Open. 2021; 8: 2385–2405.

[20] Chen B. Effect of damage control strategy combining pre-hospital emergency treatment with in-hospital treatment on pelvic fracture complicated by multiple injuries. Injury. 2024; 55: 111391.

[21] Bauer D, Neuberg M, Nováčková M, Kočka V, Toušek P. Pre-hospital delay, clinical characteristics, angiographic findings, and in-hospital mortality in young and middle-aged adults with acute coronary syndrome: a single-centre registry analysis. European Heart Journal Supplements. 2023; 25: E33–E39.

[22] Bettencourt N, Mateus P, Dias C, Mateus C, Santos L, Adão L, et al. Impact of pre-hospital emergency in the management and prognosis of acute myocardial infarction. Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology. 2005; 24: 863–872.


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