ANALYSIS OF ORGANIZATIONAL COMPONENTS OF EMERGENCY MEDICAL CARE FOR PATIENTS WITH ACUTE CORONARY SYNDROME IN POLTAVA REGION OF UKRAINE

Vyacheslav M. Zhdan, I. A. Holovanova, Grygori A. Oksak, M. V. Khorosh
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Abstract

The aim of our research was to study the structure of patients with acute coronary syndrome and determine the organizational components of medical care for patients with suspected acute coronary syndrome in Poltava region. Material and methods: For our study was on the one hand statistical reports of health care institutions for 2016-2018, and on the other – a survey of doctors and paramedics of emergency medical care teams on tactics management of patients with AMI. The methodological apparatus used to achieve the set goals was based on the determination of relative values and analysis of time series. Results: The number of patients hospitalized with acute coronary syndrome is growing every year: from 82 people in 2012 to 489 in 2018. According to the monitoring conducted in Poltava region, emergency medical care for patients with acute coronary syndrome with ST segment elevation in 2018 in the cities was provided in the amount of 717, while in rural areas – 288. Conclusions: Data from the analysis of emergency medical care for patients with acute coronary syndrome showed that among patients with ST-segment elevation, urban residents predominate; in 90.6% of cases, the time to the patient’s hospitalization was less than 120 minutes.
乌克兰波尔塔瓦地区急性冠状动脉综合征患者急诊医疗护理组织组成分析
我们的研究目的是研究急性冠状动脉综合征患者的结构,确定波尔塔瓦地区疑似急性冠状动脉综合征患者医疗保健的组织组成部分。材料和方法:我们的研究一方面是医疗机构2016-2018年的统计报告,另一方面是对急诊医疗团队医生和护理人员对AMI患者策略管理的调查。为实现既定目标所使用的方法装置是基于相对值的确定和时间序列的分析。结果:急性冠状动脉综合征住院患者逐年增加,从2012年的82人增加到2018年的489人。根据在波尔塔瓦地区进行的监测,2018年城市为ST段抬高的急性冠状动脉综合征患者提供了717例紧急医疗护理,而农村地区为288例。结论:急性冠脉综合征患者急诊医疗资料分析显示,st段抬高患者以城镇居民居多;90.6%的病例入院时间小于120分钟。
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