Linda Kristiansen
ganske radikal
Dagen hurtige opfølgning – transporttid i forbindelse med ballonudvidelser

Efter en masse “sådan er det bare!”-svar på mit spørgsmål om hvorfor det tager 49 minutter længere at komme til Rigshospitalet kontra Roskilde, er det endelig lykkedes mig at få forklaring på én faktor, der kan have en afgørende betydning: Skal man til Rigshospitalet, kører man nogle gange en omvej, for at samle en sygeplejerske op!

Nu vil jeg så se om jeg kan få svar på hvor ofte det sker og om det alene er grunden til den voldsomme ekstra-tid + høre Sundhedsstyrelsen om de har alternative forslag til hvordan vi evt. kan sikre patienterne hurtigere behandling, når det afvises at Region Sjælland må lave akutte ballonudvidelser.

 

Surprisingly, we observed that the median time from ECG to PCI centre for field triaged GRD patients was 97 minutes, even though the median distance was only 97 kilometres. This is a considerable delay for a relatively short distance and, since door-to-balloon is often close to 30 minutes, it seems difficult to achieve an acceptable PCI-related delay of 120 minutes. This could be due to triage delay (long decision time at the PCI centre) or because transport with STEMI patients is not just taking the patient from one place to another. A delay may be caused by “driving in the wrong direction” for picking up a transportation team, or having a rendezvous with a (physician- or nurse-manned) mobile emergency care unit when there is a need for help with diagnostics, treatment, transportation or triage. A higher proportion of patients in the GRD group underwent transfer from other hospitals, which might have caused prolonged PCI-related delay compared to direct triage from the field14. However, the subgroup analyses revealed that AIR is faster regardless of referral site.

(EuroIntervention 2013;9:482)

 

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