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Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 821641, 8 pages
http://dx.doi.org/10.1155/2012/821641
Research Article

Clinical Pathways Based on Integrative Medicine in Chinese Hospitals Improve Treatment Outcomes for Patients with Acute Myocardial Infarction: A Multicentre, Nonrandomized Historically Controlled Trial

1Intensive Care Unit (ICU), Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, China
2Intensive Care Unit (ICU), 2nd Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, China
3Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
43rd Affiliated Hospital, Guangxi College Traditional Chinese Medicine, Guangxi 545001, China
5Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China
6Wuyi Hospital of Traditional Chinese Medicine, Jiangmen, Guangdong 200021, China
7Oriental Hospital, Beijing University of Traditional Chinese Medicine, Beijing 100078, China
8Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, Guangdong 528400, China
9Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China
10Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA

Received 5 March 2012; Revised 22 July 2012; Accepted 1 August 2012

Academic Editor: Andreas Michalsen

Copyright © 2012 Lei Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To determine the impact of an integrative medicine clinical pathways (CPs) on the length of in-hospital stay and on outcomes for patients with acute myocardial infarction (AMI). Methods. A multicenter nonrandomized controlled trial enrolling 197 consecutive patients with AMI at eight urban TCM hospitals was conducted between 1 January 2010 and 31 October 2010. These patients were enrolled in the interventional group after the CPs had been implemented. The control group included 405 patients with AMI from eight hospitals; these patients were treated between 1 January 2008 and 31 December 2009, before the CPs were implemented. Outcome measures were the length of hospital stay costs of medical care, and major cardiovascular events (MACEs) during hospitalization. Results. Compared with the control group, the patients in intervention group had a shorter length of hospital stay ( 9 . 2 ± 4 . 2 days versus 1 2 . 7 ± 8 . 6 days, 𝑃 < 0 . 0 5 ), and reduced healthcare costs in hospital ( 4 6 3 6 5 . 7 ± 1 8 2 6 6 . 9 versus 5 2 8 6 6 . 0 ± 3 5 4 0 4 . 4 , 𝑃 < 0 . 0 5 ). There were statistically significant differences in MACE between the two groups during the hospitalization period (2.5% versus 6.9%, 𝑃 = 0 . 0 3 ). Conclusion. These data suggest that the development and implementation of the clinical pathways based in Integrative Medicine could further improve quality of care and outcome for patients with AMI.