论文推荐 | 北京地区急性心肌梗死患者到最近可行经皮冠状动脉介入治疗术医院的驾驶时间与病死风险的关联研究-规划问道

导读

本期为大家推荐的内容为论文《Driving Time to the Nearest Percutaneous Coronary Intervention‐Capable Hospital and the Risk of Case Fatality in Patients with Acute Myocardial Infarction in Beijing》（北京地区急性心肌梗死患者到最近可行经皮冠状动脉介入术医院的驾驶时间与病死风险的关联研究），发表在International Journal of Environmental Research and Public Health期刊，欢迎大家学习与交流。

及时到达能够实施经皮冠状动脉介入治疗术(Percutaneous Coronary Intervention，PCI)的医院是治疗急性心肌梗死(Acute Myocardial Infarction，AMI)的关键。我们研究了AMI患者开车到最近可行PCI术医院的驾驶时间与病死的关联。纳入了2013-2019年北京市心血管疾病监测系统的142,474例AMI事件。计算从居住地址到最近可行PCI术医院的驾驶时间。使用Logistics回归估计驾驶时间与AMI病死的风险。在2019年，54.5%的患者居住在距离可行PCI术医院15分钟车程内，城区的比例高于郊区(71.2% vs. 31.8%，p <0.001)。与驾驶时间≤15分钟的患者相比，驾驶时间在16-30分钟、31-45分钟和>45分钟OR值(95% CI, p值)分别为1.068 (95% CI, 1.033 – 1.104, p <0.001)、1.189 (95% CI,1.127-1.255, p<0.001)、1.436 (95% CI, 1.334-1.544, p<0.001)。尽管北京地区AMI患者的PCI医院可达性很高，但城郊之间存在不平等。较长的驾驶时间与AMI病死风险升高相关。研究有助于指导卫生资源的分配。

论文推荐 | 北京地区急性心肌梗死患者到最近可行经皮冠状动脉介入治疗术医院的驾驶时间与病死风险的关联研究

论文相关

题目：Driving Time to the Nearest Percutaneous Coronary Intervention‐Capable Hospital and the Risk of Case Fatality in Patients with Acute Myocardial Infarction in Beijing

（北京地区急性心肌梗死患者到最近可行经皮冠状动脉介入治疗术医院的驾驶时间与病死风险的关联研究）

作者：Jie Chang, Qiuju Deng, Piaopiao Hu, Zhao Yang, Moning Guo, Feng Lu , Yuwei Su, Jiayi Sun, Yue Qi, Ying Long*,and Jing Liu*

发表刊物：

International Journal of Environmental Research and Public Health

DOI:https://doi.org/10.3390/ijerph20043166

摘要ABSTRACT

Timely arrival at a hospital capable of percutaneous coronary intervention (PCI) is critical in treating acute myocardial infarction (AMI). We examined the association between driving time to the nearest PCI‐capable hospital and case fatality among AMI patients. A total of 142,474 AMI events during 2013–2019 from the Beijing Cardiovascular Disease Surveillance System were included in this cross‐sectional study. The driving time from the residential address to the nearest PCI‐capable hospital was calculated. Logistic regression was used to estimate the risk of AMI death associated with driving time. In 2019, 54.5% of patients lived within a 15‐min drive to a PCI‐capable hospital, with a higher proportion in urban than peri‐urban areas (71.2% vs. 31.8%, p < 0.001). Compared with patients who had driving times ≤15 min, the adjusted odds ratios (95% CI, p value) for AMI fatality risk associated with driving times 16–30, 31–45, and >45 min were 1.068 (95% CI 1.033– 1.104, p < 0.001), 1.189 (95% CI 1.127–1.255, p < 0.001), and 1.436 (95% CI 1.334–1.544, p < 0.001), respectively. Despite the high accessibility to PCI‐capable hospitals for AMI patients in Beijing, inequality between urban and peri‐urban areas exists. A longer driving time is associated with an elevated AMI fatality risk. These findings may help guide the allocation of health resources.