Avtor/Urednik     Okrajšek, Renata; Kapš, Rafael; Starič, Srečko; Ožek, Branka; Gorjup, Boštjan; Gregorič, Branko; Toplišek, Janez; Gradecki, Iztok
Naslov     Prevoz bolnikov na primarno PTKA iz Splošne bolnišnice Novo mesto v Ljubljano
Prevedeni naslov     Transport of patients for primary PTCA from General hospital Novo mesto to Ljubljana
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 72, št. 2
Leto izdaje     2003
Obseg     str. 67-9
Jezik     slo
Abstrakt     Background. The treatment of acute coronary syndrom (ACS) with ST-segment elevation with primary percutaneous transluminal coronary angioplasty (PTCA) has been a routine method for treatment of these patients in KC Ljubljana since April 2000. Using this method, mortality due to ACS, reinfarction, total number of death and strokes in comparison to thrombolytic therapy were highly reduced. Since May 2001 primary PTCA has been attainable also for patients from regional hospitals to be transferred quickly enough to Ljubjana. Methods. A retrospective analysis of patients with ACS with ST-segment elevation who have been transferred from General Hospital Novo mesto to KC Ljubljana in the period from Oct. 1, 2001 to March 31, 2002 to have a primary PTCA was performed. The analysis comprised the following: time interval from the chest pain start to the arrival of patient to the General Hospital Novo mesto, handling of patient at Internistic department of General Hospital Novo mesto, transport of patient to Ljubljana and total time interval from the arrival of patient to the first inflation of balloon in Ljubljana. Results. In the upper mentioned period 14 patient (12 males and 2 females) were transported from the General Hospital Novo mesto to the KC Ljubljana to perform a primary PTCA. Our patients arrive to hospital very late. Due to problems with transport organisation and patient's escort and duty, total time interval measured between the patient arrival to the General Hospital Novo mesto to the first inflation of balloon in Ljubljana was 2h and 42 minutes. That was longer that had been stated previously in the literature. Conclusions. In our opinion, primary PTCA is practicable also for patients admitted to a regional hospital because of ACS with ST-segment elevation. The transport of patient is safe. Better organisation of Health Service and patient transportion would shorten the time needed to perform the first inflation of balloon in Ljubljana.
Izvleček     Izhodišča. Zdravljenje bolnikov z akutnim koronarnim sindromom (AKS) z dvigom ST spojnice s primarno perkutano transluminalno koronarno angioplastiko (PTKA) je rutinska metoda zdravljenja teh bolnikov v Kliničnem centru Ljubljana od aprila 2000. S to metodo pomembno zmanjšamo umrljivost zaradi AKS, pogostnost reinfarktov, celokupno število smrti in možganskih kapi v primerjavi s trombolitičnim zdravljenjem. Od maja 2001 je primarna PTKA dosegljiva tudi za bolnike iz regionalnih bolnišnic, ki jih lahko dovolj hitro prepeljemo v Ljubljano. Metode. Opravili smo retrospektivno analizo bolnikov z AKS z dvigom ST spojnice, ki smo jih iz SB Novo mesto v času od 1. 10. 2001 do 31. 3. 2002 prepeljali v KC Ljubljana za izvedbo primarne PTKA. Analizirali smo časovne intervale od začetka prsne bolečine do prihoda bolnika v SB Novo mesto, obravnavo bolnika na Internem oddelku SB Novo mesto, prevoz bolnika v Ljubljano in skupni časovni interval od prihoda bolnika v SB Novo mesto do prvega napiha balona v Ljubjani. Rezultati. V omenjenem obdobju smo iz SB Novo mesto v KC Ljubljana prepeljali 14 bolnikov za izvedbo primarne PTKA, 12 moških in 2 ženski. Naši bolniki prihajajo v bolnišnico pozno. Predvsem zaradi težav z organizacijo prevoza, spremstva bolnika in dežurne službe je časovni interval od prihoda bolnika v SB Novo mesto do prvega napiha balona v Ljubljanani - 162 minut - daljši kot ga navajamo v literaturi. Zaključki: Menimo, da je primarna PTKA izvedljiva tudi pri bolnikih, ki so zaradi AKS z dvigom ST spojnice sprejeti v regionalno bolnišnico. Prevoz bolnika je varen. Z boljšo organizacijo zdravstvene službe in boljšo urejenostjo prevoza bolnikov bo možno čas do prvega napiha balona še skrajšati.
Deskriptorji     MYOCARDIAL INFARCTION
ANGINA, UNSTABLE
TRANSPORTATION OF PATIENTS
ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY
EMERGENCY SERVICE, HOSPITAL
ELECTROCARDIOGRAPHY
TIME FACTORS
PROSPECTIVE STUDIES