The experience of organization of medical care of patients with acute coronary syndrome in multi-type hospital
Zagidullin, B.I.; Khairullin, I.I.; Stanichenko, N.S.; Zagidullin, I.M.; Zagidullin, N.S.
Problemy Sotsial'noi Gigieny Zdravookhraneniia i Istorii Meditsiny 24(3): 160-163
2016
ISSN/ISBN: 0869-866X PMID: 29553233 Document Number: 688993
In Naberezhnye Chelny, a number of structural and technological reformations of service of emergency medical care was implemented in 2009-2012. The reformation manifested in organization of unified emergency center of medical care of patients with acute coronary syndrome; joining up of cardiological departments of two hospitals; organization of X-ray surgical department; enhancement of logistics of admission department and interaction with emergency medical care; optimization of mode of medical care rendering at pre-hospital and hospital stages. The implemented reforms permitted increasing accessibility and timeliness of reperfusion therapy under acute coronary syndrome; to implement transcutaneous coronary interventions into practice and increase their number annually; to decrease "door-balloon" index up to 30-40%. As a result, lethality of acute myocardium infarction decreased from 12 to 3 to 5.8% in 2010-2014.