Avtor/Urednik     Okrajšek, Renata; Kapš, Rafael
Naslov     Prevoz bolnikov na primarno PTKA iz Splošne bolnišnice Novo mesto v Ljubljano v letu 2002
Prevedeni naslov     Transport of patients for primary PTCA from General hospital Novo mesto to Ljubljana in 2002
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 73, št. 12
Leto izdaje     2004
Obseg     str. 895-8
Jezik     slo
Abstrakt     Background. The treatment of acute coronary syndrome (ACS) with ST-segment elevation with primary percutaneous transluminal coronary angioplasty (PTCA) is the best way to treat these patients. Primary PTCA is also practicable with patients who are admitted into institution without catheter laboratory. The transport of patients into the tertiary institution is safe, but it is important to keep the time of ischemia as short as possible and to reach the time interval of door-balloon as recommended by the guidelines. The ACS patients with ST-segment elevation that were directed into General Hospital Novo mesto after examination at the internistic emergency department have been redirected to KC Ljubljana for realization of PTCA since October 2001. Methods. A prospective analysis of patients with ACS with STsegment elevation, who had been transferred from General Hospital Novo mesto to KC Ljubljana in the period from January 1, 2002 to December 31, 2002 to have a primary PTCA, was performed. The analysis comprised the following: the time interval of handling the patients at Internistic department of General Hospital Novo mesto, the time of transport of patients to Ljubljana and total time interval from the arrival of patients to General Hospital Novo mesto to the first inflation of balloon in Ljubljana. We monitored the complications that occurred during the treatment of the patients. Results. In the above mentioned period 29 patients (24 males and 5 females) were transported from the General Hospital Novo mesto to the KC Ljubljana to have a primary PTCA performed. The total time interval measured between the patients' arrival to General Hospital Novo mesto to the first inflation of balloon in Ljub jana in the year 2002 was 145 minutes, which is 17 minutes better than in the previous period. The time interval recommended by theguidelines was achieved with four patients. (Abstract truncated at 2000 characters)
Izvleček     Izhodišča. Zdravljenje bolnikov z akutnim koronarnim sindromom (AKS) z dvigom spojnice ST s primarno perkutano koronarno angioplastiko (PTKA) je najboljši način zdravljenja teh bolnikov. Primarna PTKA je izvedljiva tudi pri bolnikih, ki so sprejeti v ustanovo brez kateterskega laboratorija. Prevoz bolnika v terciarno ustanovo je varen, pomembno pa je, da je čas ishemije čim krajši in da se približamo časovnemu intervalu vrata-balon, kot ga priporočajo smernice. Od oktobra 200Z so bolniki z AKS z dvigom spojnice ST ki so napoteni v SB Novo mesto po pregledu v urgentni internistični ambulanti napoteni v Klinični center Ljubljana za izvedbo primarne PTKA. Metode. Prospektivno smo spremljali bolnike z AKS z dvigom spojnice ST, ki smo jih iz SB Novo mesto v času od 1. 1. 2002 do 31. 12. 2002 prepeljali v KC Ljubljana za izvedbo primarne PTKA. Analizirali smo časovni interval obravnave bolnika na Internem oddelku SB Novo mesto, čas prevoza v Ljubjano in skupni časovni interval od prihoda bolnika v SB Novo mesto do prvega napiha balona v Ljubljani. Spremljali smo zaplete, ki so nastopili v času zdravljenja bolnika. Rezulrati. V opazovanem obdobju smo iz SB Novo mesto v KC Ljubljana prepeljali 29 bolnikov za izvedbo primarne PTKA, 24 moških in 5 žensk. Časovni interval od prihoda bolnika v SB Novo mesto do prvega napiha balona v Ljubljani je v letu 2002 145 min, kar je za 17 minut boljše kot v prejšnjem obdobju. Časovni interval, kot ga priporočajo smernice, smo dosegli pri štirih bolnikih. Zaključki. S poznavanjem problemov, s katerimi smo se srečevali pri napotitvah bolnikov na primarno PTKA iz SB Novo mesto in njihovim odpravljanjem, smo uspeli skrajšati časovni interval vrata-balon. V prihodnosti moramo še izboljšati vse časovne intervale obravnave z vsemi sodelujočimi.
Deskriptorji     MYOCARDIAL INFARCTION
ANGINA, UNSTABLE
ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY
PATIENT TRANSFER
TIME FACTORS