Treatment Results ST- Elevation Myocardial Infarction Patients Receive with Fibrinolytic Drugs at Emergency Department Phaholpolpayuhasana Hospital in Kanchanaburi Province

Abstract

          This retrospective descriptive study (chart review) aimed to Treatment Results   of care for patients with ST-elevation myocardial infarction (STEMI). This was conducted on patients with STEMI for thosewho came to the emergency department in Phaholpolpayuhasana Hospital between 1  October, 2019  and 30  December, 2022  (n=695). The research instrument used was the case record form that was created by the researcher, which comprised the following information: demographic characteristics, illness history,and quality of care for patient with STEMI. Descriptive statistics was usedfor data analyses.

          Results: There were 695  patients with  males 72.1%, age > 41-60 years 44.6% mean 61.19, SD =1.29 Most of themwere in Muang District, 23.6 %, followed by Tha MuangDistrict, 13.2 %. Came to the hospital by referring  the most, 77.3 %, followed by 18.7 % of The patients themselves

          From the study, it was found that Door toECG within 10 minutes mean 4.18, SD 8.69The minimum time for ECG examination is 1 minute, the maximumtime is 102 minutes.Therate of STEMI patients receive with fibrinolytic drugs was 82.3%.Door to consult MED within 30 minutes, 93.5%, the minimumtime to consult a medicaldoctor is 3 minutes, the most time is 73 minutes , mean 14.23, SD 10.86 .Door to needle time  within 30 minutes mean 35.97, SD 27.12   was 63.4  %. The minimum time for dosing was 4 minutes, the maximum time was 165 minutes. The cause of delayed fibrinolytic administrationwas 2 EKGs 3.1% ,Arrest 3.0%. Complications from fibrinolytic administrationsuch as BP Drop 5.3%, followed by Arrest patients 1.4%.onset time82.3%,Length of stay =1 day  79.7 %  Discharge  with the highest referral rate 85.5%  , Mortality rate 5.5 %