Applying WCACG modified process is beneficial on reduced door-to-balloon time of acute STEMI patients

Qiao-Wen Li; Xiao-Jian Liu; Jin-Hua Li; Guo-Qi Zhang; Su-Min Chen; Chao-Long Huang; Min Qiu; Yue-Liang Li; Peng Duan; Yi-Jiun Weng; Xiao-Yong Zhang; Chih-Yang Huang

doi:10.1051/bmdcn/2019090210

Applying WCACG modified process is beneficial on reduced door-to-balloon time of acute STEMI patients

Biomedicine (Taipei). 2019 Jun;9(2):10. doi: 10.1051/bmdcn/2019090210. Epub 2019 May 24.

Authors

Affiliations

¹ Department of Cardiology, Qingyuan People's Hospital, The Sixth Affiliated Hospital of Guangzhou Medical University, Guangdong, China.
² Department of Cardiology, Qingyuan People's Hospital, The Sixth Affiliated Hospital of Guangzhou Medical University, Guangdong, China - Graduate Institute of Basic Medical Science, China Medical University, Taichung 404, Taiwan.
³ Graduate Institute of Basic Medical Science, China Medical University, Taichung 404, Taiwan - Graduate Institute of Chinese Medical Science, China Medical University, Taichung 404, Taiwan - Department of Health and Nutrition Biotechnology, Asia University, Taichung 413, Taiwan.

Abstract

Background: Various systems have employed with the objective to reduce the time from emergency medical services contact to balloon inflammation for ST-elevation myocardial infraction (STEMI) patients. The WCACG message system was used to an alternative communication platform to improve confirmation of the diagnosis and movement to treatment, resulted in shorten the door-to-balloon (D-to-B) time for STEMI patients.

Methods: We collected 366 STEMI patients admitted at the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital, Department of Cardiology, during the period from June 2013 to October 2015. The patients were divided into two groups one underwent the current GC processes and the other group was handled using WCACG system. We compared between two groups with several indicators including D-to-B time, duration of hospitalization, associated costs, and incidence of adverse cardiovascular events.

Results: The results show that the new method with WCACG system significantly reduced the average D-to-B time (from 100.42 ± 25.14 mins to 79.81 ± 20.51 mins, P < 0.05) compared to the GC processes, and also reduced the duration, costs and undesirable cardiac incidence during hospitalization.

Conclusions: The modified WCACG process is an applicable system to save pieces of time and efficiently integrate the opinions of experts in emergency.