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首页> 外文期刊>Hong Kong journal of emergency medicine. >Analysis of prehospital care of patients with acute myocardial infarction in Bulgaria
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Analysis of prehospital care of patients with acute myocardial infarction in Bulgaria

机译：保加利亚急性心肌梗死患者的院前护理分析

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Acute myocardial infarction is one of the most devastating cardiovascular diseases and about 50% of all deaths due to it occur prior to hospitalization. Our study aimed to evaluate the prehospital delay in patients with acute myocardial infarction. We enrolled 682 consecutive patients with acute myocardial infarction from May 2008 to December 2014, with a mean age of 66.6?±?12.9?years. Detailed information was collected about the symptoms, first medical contact, concomitant clinical conditions, and the socioeconomic data. We analyzed the following prehospital times: (1) onset of symptoms to emergency call, (2) onset of symptoms to first medical contact, (3) first medical contact to hospital admission, and (4) onset of symptoms to hospital admission. The first medical contact was with the National Emergency Medical Service in 266 (39.0%) patients, another emergency unit 106 (15.6%), cardiologist 41 (6%), general practitioner 36 (5.3%), and others 233 (34.1%). The median time from the onset of symptoms till emergency call was 190?min, from the first contact with a team of the National Emergency Medical Service till hospital admission 60?min, and from the onset of symptoms till hospital admission 4.8?h. The total prehospital delay in our study was unacceptably prolonged, with patient’s decision time as the major contributor. The delay could be substantially shortened by (1) increased awareness of the general population, particularly of individuals at high cardiovascular risk and (2) continuous medical education and regular practical training of the primary care providers about coping with medical emergencies.
机译：急性心肌梗塞是最严重的心血管疾病之一，约占死亡总数的50％，发生在住院之前。我们的研究旨在评估急性心肌梗死患者的院前延迟。我们从2008年5月至2014年12月连续纳入682例急性心肌梗死患者，平均年龄为66.6±12.9岁。收集了有关症状，首次就医，伴随的临床状况以及社会经济数据的详细信息。我们分析了以下院前时间：（1）紧急呼叫出现症状，（2）首次就诊出现症状，（3）首次就诊进入医院，以及（4）首次就诊出现症状。首次与美国国家紧急医疗服务机构取得联系的患者有266名（39.0％），另一急诊部门106名（15.6％），心脏病专家41名（6％），全科医生36名（5.3％），其他233名（34.1％） 。从症状发作到紧急呼叫的中位时间为190分钟，从与国家紧急医疗服务小组的第一次接触直到入院60分钟，并且从症状发作到入院4.8小时。在我们的研究中，总的院前延误被令人无法接受地延长了，患者的决定时间是主要因素。可以通过（1）增强公众对特别是心血管高危人群的认识，以及（2）继续进行医学教育以及对初级保健提供者进行有关应付医疗紧急情况的定期实践培训，来大大缩短延迟时间。

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