title: Coordinated Digital-Assisted Program Improved Door-to-Balloon Time for Acute Chest Pain Patients.
abstract: Emergency care for patients with chest pain can be a challenge in remote areas. Digital communication technology has the potential to improve outcomes by allowing early diagnosis and faster treatment. The aim of the present study was to investigate whether implementation of a coordinated digital-assisted program (CDAP) for Chinese hospitals can reduce the door-to-balloon (D2B) time for percutaneous coronary intervention (PCI) in acute chest pain patients in China. From March to December 2011, 609 patients (CDAP group) requiring an emergency response for acute chest pain were evaluated using this CDAP. The results were compared in terms of time interval reduction (including D2B) and economic indices with those of 528 patients (non-CDAP group) previously treated by conventional protocols after admission. We screened 154 and 127 eligible patients under PCI in the CDAP and non-CDAP groups, respectively. PCI patients achieved a D2B time < 90 minutes using CDAP (82.5 versus 26.0%, P < 0.001). CDAP reduced D2B time under PCI and reduced hospitalization lengths and costs (all P < 0.001).
authors.affiliation: Department of Medical, Guangzhou General Hospital of Guangzhou Military Command.
authors.forename: Hao
authors.initials: H
authors.lastname: Chen
authors.forename: Jian
authors.initials: J
authors.lastname: Liu
authors.forename: Dingcheng
authors.initials: D
authors.lastname: Xiang
authors.forename: Weiyi
authors.initials: W
authors.lastname: Qin
authors.forename: Minwei
authors.initials: M
authors.lastname: Zhou
authors.forename: Yan
authors.initials: Y
authors.lastname: Tian
authors.forename: Mingyu
authors.initials: M
authors.lastname: Wang
authors.forename: Jijiang
authors.initials: J
authors.lastname: Yang
authors.forename: Qiang
authors.initials: Q
authors.lastname: Gao
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods / Q000706:statistics & numerical data; D002637:Chest Pain / Q000175:diagnosis; D002681:China; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D042241:Early Diagnosis; D017598:Efficiency, Organizational; D004562:Electrocardiography / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D013997:Time Factors; D061665:Time-to-Treatment / Q000592:standards