A Comparison of Direct and Two-Stage Transportation of Patients to Hospital in Poland

International Journal of Environmental Research and Public Health

Anna Rosiek¹  Aleksandra Rosiek-Kryszewska⁴  Łukasz Leksowski²  Krzysztof Leksowski³ 

[1] Department of Public Health, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-830, Poland;Department of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-094, Poland; E-Mail:;Department of Public Health, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-830, Poland; E-Mail:;Department of Inorganic and Analytical Chemistry, Faculty of Pharmacy, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-089, Poland; E-Mail:

关键词: transportation;    two-stage transportation;    hospital;    patients;    ECG transmission;    telemedicine;    public health;   

DOI  :  10.3390/ijerph120504572

来源: mdpi

【 摘 要 】

Background: The rapid international expansion of telemedicine reflects the growth of technological innovations. This technological advancement is transforming the way in which patients can receive health care. Materials and Methods: The study was conducted in Poland, at the Department of Cardiology of the Regional Hospital of Louis Rydygier in Torun. The researchers analyzed the delay in the treatment of patients with acute coronary syndrome. The study was conducted as a survey and examined 67 consecutively admitted patients treated invasively in a two-stage transport system. Data were analyzed statistically. Results: Two-stage transportation does not meet the timeframe guidelines for the treatment of patients with acute myocardial infarction. Intervals for the analyzed group of patients were statistically significant (p < 0.0001). Conclusions: Direct transportation of the patient to a reference center with interventional cardiology laboratory has a significant impact on reducing in-hospital delay in case of patients with acute coronary syndrome. Perspectives: This article presents the results of two-stage transportation of the patient with acute coronary syndrome. This measure could help clinicians who seek to assess time needed for intervention. It also shows how time from the beginning of pain in chest is important and may contribute to patient disability, death or well-being.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.