Anvendelse af mobiltelefon med faxfunktion i visitationen af patienter med ST-elevations akut myokardieinfarkt
Engelsk titel: Use of a combined mobile phone and fax solution in the selection of patients with ST- elevation acute myocardial infarction
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Författare:
Hjortshöj SP
;
Ravkilde JL
Email: sph@dadlnet.dk
Språk: Dan
Antal referenser: 5
Dokumenttyp:
Artikel
UI-nummer: 04111478
Sammanfattning
Introduction: Acute percutaneous coronary intervention (PCI) has become the preferred treatment for patients with acute ST-elevation MI (STEMI). Correct selection of these patients plays a pivotal role in the outcome. This article describes the communication solution chosen by the Department of Cardiology, Aalborg Hospital-Aarhus University Hospital and surrounding primary hospitals in the County of North Jutland, which altogether have an uptake area of 495,000 people, hereof 300,000 for primary hospitals. The registrar on duty in the Department of Cardiology carries a combined mobile phone and fax (Nokia 9210) with separate fax and telephone numbers. ECGs are displayed on a screen (640 × 200 pixels). Materials and methods: During a one-year period, registrars on duty were asked to complete a questionnaire about the use of the mobile phone in the previous 24 hours. Results: 378 calls from primary hospitals to the mobile phone were recorded, an average of one per day. Calls were evenly distributed throughout the day and night. Most of the calls (66%) were related to the diagnosis of STEMI and possible primary PCI. The remaining 34% of the calls were related to general cardiological problems. The response time was less than five minutes in 92% of the cases. 45 cases (12%) of technical problems were recorded, of which 15 (4%) were related to problems with the mobile phone. Discussion: Our one-year follow-up showed that a highly mobile fax/phone solution is useful in selecting patients for acute revascularization. Calls primarily concerned STEMI patients. Technical problems were few.