Effects of optimized emergency care process on the rescue of patients with acute myocardial infarction

Abstract

Objective To explore the influence of the optimized emergency care process on the remedy results of the patients with acute myocardial infarction. Methods We retrospectively analyzed the clinical data of 113 cases of acute myocardial infarction patients in our hospital Emergency Department from January 2013 to June 2014, and divided them into observation group (n=56) and control group (n=57) according to random number table. The patients of control group received the conventional process of emergency, while the patients of observation group received the optimized emergency process. Comparison of the visit time, acquired treatment time, door-to-balloon time (DB-time), rescue success rate, incidence of complications, in-hospital mortality and length of stay of the two groups were organized; and we recorded the APACHE Ⅱ score of the observation group at transfer process and after admission. Results The acquired treatment time was (9.39±2.75) min, D-B time (61.27±10.35)min, length of hospitalization (15.34±4.33) d in the observation group lower than that of the control group (t=-2.013, -2.224, 2.683; P<0.05). The rescue success rate, complication incidence rate and mortality of observation group were 98.21%, 12.50%, 3.64% better than those of the control group (χ2=4.793, 3.890, 4.906; P<0.05). The APACHE Ⅱ score of the observation group was (20.82±3.88) point, lower than (23.78±4.02) score of the control group (t=2.646, P<0.05). Conclusions The optimized emergency care process can improve the success rate of first aid, reduce the mortality rate, guarantee the nursing quality of emergency green passage, and embody the timeliness of first aid. Key words: Acute myocardial infarction; Emergency, nursing; Optimized process