【精品】PPT课件 AMI再灌注治疗,院前我们能做什么.ppt

AMI再灌注治疗,院前我们能做什么
张斌
广东省人民医院
广东省心血管病研究所
DOOR
NEEDLE
BALLOON
时间就是心肌!
缩短时间
D2B Times Surpass National Campaign’s Goal
Elizabeth H. Bradley, PhD. Yale School of Public Health. Friday, December 04, 2009 The American College of Cardiology (ACC)
Door-to-Balloon (D2B) 联盟目标:STEMI 病人 D2B ≤ 90 minutes 达到 75%.
从2005年4月到 2008年3月,614医院参加NCDR登记研究并加入 D2B 联盟
3年中 82,610 住院患者D2B时间显著缩短
Bradley EH, Nallamothu BK, Herrin J, et al. National efforts to improve door-to-balloon time: Results from the Door-to-Balloon Alliance. J Am Coll Cardiol. 2009;54:2423–2429
Table 1. Changes in Use of mended Strategies
Strategy
2005
2008
Increase
P Value
急诊通知导管室
%
%
%

单独呼叫系统激活导管室
%
%
%

梯队30分钟内到达导管室
%
%
%
<
即时资料反馈
%
%
%
<
激活院前 ECG
%
%
%

Impressive 3-Year Increase
% of US patients had a D2B time within 90 min in 2006
By 2008, the percentage had increased to %, slightly better than the initial goal of 75% set at the start of the campaign
continued to improve beyond the end of the study period (March 31, 2008).
% of eligible patients had D2B times ≤ 90 minutes from June 30, 2009
The average D2B time from an average of 121 minutes at the end of 2005, to an average of 80 minutes as of June 30, 2009