Electronic Referral System for Transferred Patients with Acute Myocardial Infarction
Introduction: The electronic referral system (ERS) in Taiwan was designed to improve the efficiency and quality of patient transfer through a coordinated system of care intervention by imposing mutual responsibility on medical network systems. Information regarding the effects of ERS implementation...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
| Series: | Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=6;spage=248;epage=253;aulast=Chen |
| _version_ | 1819047821391691776 |
|---|---|
| author | Sy-Jou Chen Kuan-Cheng Lai Fuh-Yuan Shih Yi-Ping Chuang Yan-Chiao Mao Wen-I Liao Pei-Lin Yang Kuo-Cheng Lan |
| author_facet | Sy-Jou Chen Kuan-Cheng Lai Fuh-Yuan Shih Yi-Ping Chuang Yan-Chiao Mao Wen-I Liao Pei-Lin Yang Kuo-Cheng Lan |
| author_sort | Sy-Jou Chen |
| collection | DOAJ |
| description | Introduction: The electronic referral system (ERS) in Taiwan was designed to improve the efficiency and quality of patient transfer through a coordinated system of care intervention by imposing mutual responsibility on medical network systems. Information regarding the effects of ERS implementation on the door-to-balloon time (DBT) in transferred patients with ST-segment elevation myocardial infarction (STEMI) is scant. Methods: Data were retrospectively collected from the emergency registry database at Tri-Service General Hospital, Taipei, between January 2012 and February 2015. Patients were categorized into before and after groups depending on the time of ERS implementation. Baseline demographics and duration at the Emergency Department were recorded and analyzed. Results: We recruited 81 and 106 patients for the before and after groups, respectively. The mean age of patients was 57.7 years and 58.4 years (P = 0.704), respectively. Patients were predominantly men in both groups (92.6% vs. 86.8%, P = 0.203). The door-to-electrocardiography and door-to-catheterization laboratory time differed significantly between the two groups. The results of the general linear model analysis for STEMI patients from networked hospitals revealed that ERS implementation is an independent risk factor for shortened DBT. The average hospital stay, hospital death, and 3-month mortality or major adverse cardiac event differed nonsignificantly between the two groups (11.1% vs. 14.2%, P = 0.823). Conclusion: ERS implementation reduced the DBT for transferred STEMI patients. A coordinated system of care intervention can improve the efficiency of managing transferred patients with STEMI. |
| first_indexed | 2024-12-21T11:06:27Z |
| format | Article |
| id | doaj.art-88de3f75ff6e497cac8029ac62d72772 |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-12-21T11:06:27Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-88de3f75ff6e497cac8029ac62d727722022-12-21T19:06:13ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642015-01-0135624825310.4103/1011-4564.173003Electronic Referral System for Transferred Patients with Acute Myocardial InfarctionSy-Jou ChenKuan-Cheng LaiFuh-Yuan ShihYi-Ping ChuangYan-Chiao MaoWen-I LiaoPei-Lin YangKuo-Cheng LanIntroduction: The electronic referral system (ERS) in Taiwan was designed to improve the efficiency and quality of patient transfer through a coordinated system of care intervention by imposing mutual responsibility on medical network systems. Information regarding the effects of ERS implementation on the door-to-balloon time (DBT) in transferred patients with ST-segment elevation myocardial infarction (STEMI) is scant. Methods: Data were retrospectively collected from the emergency registry database at Tri-Service General Hospital, Taipei, between January 2012 and February 2015. Patients were categorized into before and after groups depending on the time of ERS implementation. Baseline demographics and duration at the Emergency Department were recorded and analyzed. Results: We recruited 81 and 106 patients for the before and after groups, respectively. The mean age of patients was 57.7 years and 58.4 years (P = 0.704), respectively. Patients were predominantly men in both groups (92.6% vs. 86.8%, P = 0.203). The door-to-electrocardiography and door-to-catheterization laboratory time differed significantly between the two groups. The results of the general linear model analysis for STEMI patients from networked hospitals revealed that ERS implementation is an independent risk factor for shortened DBT. The average hospital stay, hospital death, and 3-month mortality or major adverse cardiac event differed nonsignificantly between the two groups (11.1% vs. 14.2%, P = 0.823). Conclusion: ERS implementation reduced the DBT for transferred STEMI patients. A coordinated system of care intervention can improve the efficiency of managing transferred patients with STEMI.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=6;spage=248;epage=253;aulast=ChenAcute myocardial infarctiondoor-to-balloon timeelectronic referral system |
| spellingShingle | Sy-Jou Chen Kuan-Cheng Lai Fuh-Yuan Shih Yi-Ping Chuang Yan-Chiao Mao Wen-I Liao Pei-Lin Yang Kuo-Cheng Lan Electronic Referral System for Transferred Patients with Acute Myocardial Infarction Journal of Medical Sciences Acute myocardial infarction door-to-balloon time electronic referral system |
| title | Electronic Referral System for Transferred Patients with Acute Myocardial Infarction |
| title_full | Electronic Referral System for Transferred Patients with Acute Myocardial Infarction |
| title_fullStr | Electronic Referral System for Transferred Patients with Acute Myocardial Infarction |
| title_full_unstemmed | Electronic Referral System for Transferred Patients with Acute Myocardial Infarction |
| title_short | Electronic Referral System for Transferred Patients with Acute Myocardial Infarction |
| title_sort | electronic referral system for transferred patients with acute myocardial infarction |
| topic | Acute myocardial infarction door-to-balloon time electronic referral system |
| url | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2015;volume=35;issue=6;spage=248;epage=253;aulast=Chen |
| work_keys_str_mv | AT syjouchen electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT kuanchenglai electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT fuhyuanshih electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT yipingchuang electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT yanchiaomao electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT weniliao electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT peilinyang electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction AT kuochenglan electronicreferralsystemfortransferredpatientswithacutemyocardialinfarction |