| ObjectivesTo evaluation of acute myocardial infarction clinical pathways of integrated traditional chinese and western medicine.MethodsThrough the multicenter study approach, the study select the patients whom the first diagnosed as "acute myocardial infarction" be in hospitalized in ICU of Guangdong Provincial Hospital of TCM and the other centers'from January 2008 to December 2009 as non-clinical pathway group, and the patients whom the first diagnosed as "acute myocardial infarction" be in hospitalized in ICU of Guangdong Provincial Hospital of TCM and the other centers'from September 2009 to Octorber 2010 as clinical pathway group (the patients' selection starts from September 2009, other centers'starts form January 2010), compared with two groups of hospitalized patients with major relevant circumstances. The main evaluation indicators:such as length of stay, hospital costs, hospital incidence of major cardiovascular events, and so on.ResultThe study collects 602 cases in line with the inclusion criteria, including The clinical pathway group of 197 cases, and the non-clinical group of 405 cases. The total length of stay from 12.7±8.6 days down to 9.2±4.2 days (P<0.01), the total hospitalization cost decreased from 52866.0 yuan to 46365.7 yuan (P<0.01). There was a downward trend of Hospital mortality rate declining from 5.4% to 1.5%(P<0.05) ConclusionThe acute myocardial infarction clinical pathways of integrated traditional chinese and western medicine can safely reduce the total length of hospitalization stay and the total hospitalization cost.
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