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Study Protocol
Journal of Chinese Integrative Medicine: Volume 9, 2011   Issue 7
A study protocol for clinical pathways based on integrative medicine for patients with acute myocardial infarction
1. Lei Wang (Intensive Care Unit, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China )
2. Li-heng Guo (Intensive Care Unit, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China )
3. Jun Zhang (Intensive Care Unit, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China )
4. Xu-jie Zhao (Intensive Care Unit, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China )
5. Min-zhou Zhang (Intensive Care Unit, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China E-mail: minzhouzhang@yahoo.com.cn)

Background: Acute myocardial infarction (AMI) is one of the most common cardiovascular diseases. The clinical pathway is the therapeutic program for disease-specific treatment and its implementation may reduce both the duration and cost of the hospital stay. This study aims to construct and evaluate the efficacy of clinical pathways (CPs) based on integrated traditional Chinese and Western medicine for patients with AMI.

Methods and design: The clinical pathway of integrative medicine for AMI was constructed on the basis of syndrome evolvement surveys, literature research and expert consultation. Then, a non-randomized controlled, multicenter trial was designed to evaluate the efficacy and safety of the clinical pathway around the length of hospital stay, hospital expenses and the incidence of major cardiovascular events. This also allowed further exploration into the efficacy and safety of the clinical pathway for AMI based on traditional Chinese and Western medicine.
Discussion: The study firstly researched CPs based on the integrative medicine in hospitals of Chinese medicine and set up the key methods and skills for the construction of CPs of integrative medicine. This study will provide a powerful reference and direction for single-disease management reform under the healthcare system and set a good example for the improvement of integrative treatments.

Trial registration number: ChiCTR-TNRC-10000753.
 

Received April 1, 2011; accepted April 12, 2011; published online July 15, 2011.
Full-text LinkOut at PubMed. Journal title in PubMed: Zhong Xi Yi Jie He Xue Bao.
    
Correspondence: Prof. Min-zhou Zhang; E-mail: minzhouzhang@yahoo.com.cn

 

Full text of this article is in Chinese

  
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Reader's comments
1. They seem to have given up dark chocolate and red wine in favor of siknmog and whatever food is making them fat. As women don't usually present with the normal chest pain symptoms when they are having an AMI (like complaining about kidney pain) is the drastic jump in percentages partly due to better/earlier identification of the women having heart attacks? Was there always this many heart attacks and we were just missing them? (2015-12-12 0:00:00)
2. I was talking about this with a nurse fenird of mine, who commented that it's hard to measure outcomes when everyone is so overworked that patients are rushed out the door before they fully understand what meds to take or what follow up care will be necessary. Obviously, providers that address this will do better on outcomes.What's your take on this what is being done to make sure patients are being given the time/support they need to be ready to go home? http://oyuwtln.com [url=http://aahitbpl.com]aahitbpl[/url] [link=http://uzbmwrqqin.com]uzbmwrqqin[/link] (2015-12-21 0:00:00)

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