Coordinated Digital-Assisted Program Improved Door-to-Balloon Time for Acute Chest Pain Patients

• Published in: International Heart Journal Vol. 57; no. 3; pp. 310 - 316
• Main Authors: Chen, Hao, Liu, Jian, Xiang, Dingcheng, Qin, Weiyi, Zhou, Minwei, Tian, Yan, Wang, Mingyu, Yang, Jijiang, Gao, Qiang
• Format: Journal Article
• Language: English
• Published: Japan International Heart Journal Association 2016
• Subjects: Aged; Angioplasty, Balloon, Coronary - methods; Angioplasty, Balloon, Coronary - statistics & numerical data; Chest Pain - diagnosis; China; Diagnosis, Computer-Assisted - methods; Early Diagnosis; Efficiency, Organizational; Electrocardiography - methods; Emergency Medical Services - methods; Emergency Medical Services - standards; Female; Humans; Male; Middle Aged; Percutaneous coronary intervention (PCI); Quality Improvement; ST Elevation Myocardial Infarction - diagnosis; ST Elevation Myocardial Infarction - physiopathology; ST Elevation Myocardial Infarction - therapy; ST-elevated myocardial infarction (STEMI); Temporal and spatial information awareness cardiovascular care (TSIACC); Time Factors; Time-to-Treatment - standards
• ISSN: 1349-2365; 1349-3299
• DOI: 10.1536/ihj.15-415

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).