Effects of ACS Easy Pass Model Development on Clinical Outcomes and Door-to-Balloon Time in Patients with Acute Coronary Syndrome
Keywords:
Acute Coronary Syndrome, ACS Easy Pass Model, door-to-balloon time, Clinical Outcomes, Critical Cardiac Care NursingAbstract
Objective : To evaluate the effectiveness of the ACS Easy Pass Model, a fast-track service for treating patients with acute coronary syndrome (ACS).
Methods : This retrospective study included 207 high-risk acute coronary syndrome patients who received care through the ACS Easy Pass Model at Queen Sirikit Heart Center of The Northeast (May 2018–September 2023).
Results : In the ACS Easy Pass Model, patients were screened according to set indications, and the catheterization laboratory team was activated in advance to prepare before the patient’s arrival, after which patients were transferred directly to the catheterization laboratory without passing through the emergency department. Most high-risk or critically ill ACS patients receiving care had cardiogenic shock (32.4%) and resuscitated cardiac arrest (28.5%), respectively, and most had ST-elevation myocardial infarction (92.8%). Regarding clinical outcomes, 87.9% of patients underwent percutaneous coronary intervention, cardiogenic shock occurred in 27.1%, access-site hematoma in 22.7%, and arrhythmia in 18.4%; mortality was 16.9%, with a median length of hospital stay of 5 days (Q1, Q3: 3, 9) and mean door-to-balloon time of 24 minutes (minimum 5, maximum 69 minutes).
Conclusions : The fast-track service system has a positive effect on rapid access to treatment and effectively reduces door-to-balloon time. This system is therefore suitable for application to enhance the quality of care for patients with acute coronary syndrome in critical situations.
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