ประสิทธิผลของการใช้แบบประเมินคัดกรองความรุนแรงของผู้ป่วยกล้ามเนื้อหัวใจขาดเลือด ชนิด NSTE-ACS เพื่อลดระยะเวลาการรอคอยการตรวจสวนหัวใจในโรงพยาบาลเชียงรายประชานุเคราะห์

Abstract

ABSTARCT
BACKGROUND
Non ST elevation-Acute Coronary Syndrome (NSTE-ACS) is the common disease with varying prognosis. Risk stratification for invasive treatment is needed to define severe patients to go on coronary intervention. Screening form had been developed to choose those patients to invasive properly management.
OBJECTIVES
To compare waiting time and clinical outcomes of NSTE-ACS patients before and after screening form were used.
METHOD
This is screening intervention research with historical intervention controlled. All NSTE-ACS patients who visited between May 2016 – September 2017 were subjects. We used screening form in NSTE-ACS patients who visited between March to September 2017. We collected data by using clinical record form and compared clinical outcomes by using exact probability test และ t-test.
RESULTS
There are 357 Patients in this study. The controlled group was 214 cases and study group was 143 cases. After using screening form, the decreasing of waiting time for coronary procedures was 43.33 days, the myocardial infarction recurrent was 79% and mortality in patients waiting for coronary intervention was 89 %
CONCLUSIONS AND DISSCUSSIONS
The screening forms for coronary procedures had effectiveness for select patients to proceeds to invasive strategy and improve clinical outcomes.