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

Anna Rosiek, Aleksandra Rosiek-Kryszewska, Łukasz Leksowski and Krzysztof Leksowski
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Anna Rosiek: Department of Public Health, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-830, Poland
Aleksandra Rosiek-Kryszewska: Department of Inorganic and Analytical Chemistry, Faculty of Pharmacy, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-089, Poland
Łukasz Leksowski: Department of Rehabilitation, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-094, Poland
Krzysztof Leksowski: Department of Public Health, Faculty of Health Sciences, Nicolaus Copernicus University in Toruń, Bydgoszcz 85-830, Poland

IJERPH, 2015, vol. 12, issue 5, 1-15

Abstract: 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.

Keywords: transportation; two-stage transportation; hospital; patients; ECG transmission; telemedicine; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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