Redução da mortalidade após implementação de condutas consensuais em pacientes com infarto agudo do miocárdio

Bordon, Juliana G.; Paiva, Sérgio Alberto Rupp de; Matsubara, Luiz Shiguero; Inoue, R; Matsui, Mirna; Gut, Ana Lúcia; Ferreira, Ana Lúcia dos Anjos; Zornoff, Leonardo A. M.

doi:10.1590/s0066-782x2004000400008

Cited by 10 publications

(11 citation statements)

References 21 publications

(13 reference statements)

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“…As an example, there were similar results in a study conducted in the city of Niteroi, Rio de Janeiro 15 . The study involved 241 patients with AMI, selected from three public hospitals (159) and two private hospitals (82), with mortality rates of 12.6% and 12.3% respectively.…”

Section: Discussionsupporting

confidence: 77%

“…Also noteworthy is the fact that drugs such as betablockers, statins and clopidogrel, which have positive impact on morbidity and mortality from AMI, were used in 100% of the private patients and in a significantly lower percentage of the public patients, although in the range of 87, 88 and 85%, respectively 15 . In the context of these serious health care problems, it is important to note that there was no significant difference in the restrictions between men and women, which does not explain the higher female mortality.…”

Section: Discussionmentioning

confidence: 99%

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Maior letalidade e morbidade por infarto agudo do miocárdio em hospital público, em Feira de Santana - Bahia

Ferreira¹,

Correia²,

Reis³

et al. 2009

Arq. Bras. Cardiol.

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SummaryBackground: Factors related to socioeconomic status and health care quality and management may influence mortality and morbidity rates due to acute myocardial infarction (AMI).Objective: To compare mortality and morbidity in patients with AMI hospitalized in public and private hospitals.Methods: An observational study, with comparison groups. Clinical evaluation on admission, and recording of diagnostic, therapeutic and evolution data until discharge or death. Comparison of clinical characteristics by univariate analysis followed by bivariate analysis, evaluating the combination of predictors with death and morbidity (Killip> I), SPSS, version 13.0. Results IntroductionAcute myocardial infarction (AMI) is the main complication of CAD 1 . The mortality and morbidity from AMI depends on factors related to the severity of the disease and the speed and quality of hospital care. If the patient receives appropriate hospital care within few hours after onset of the symptoms, the mortality worldwide is around 10% 2, similar to that observed in the hospitals of the cities of Rio de Janeiro (10.8%) and Niterói (12.3%) 3,4 . However, this percentage may not reflect the reality when there are factors such as delay between the onset of pain and arrival at the hospital, delay in the start of in-hospital treatment, restrictions on the use of myocardial protection measures, such as primary angioplasty and thrombolytics, and on access to intensive care unit 2,5 . In addition, the social strata of lower income and education show a more serious natural history of CAD, with the possibility of higher mortality and morbidity in the first 28 days post-AMI 6,7 . Although the reasons for this are not well defined, it is noteworthy that public health care units, such as hospitals and health care centers, do not always have a specialized staff for emergency cardiovascular care, there is scarcity of certain drugs, such as thrombolytics, and there are insufficient number of beds in ICU to meet local demand, and these are issues that have an important influence on the prognosis of the disease. Other factors like limited access to a specialized hospital or outpatient care unit of better quality, and limitations on the maintenance of appropriate preventive measures of primary or secondary type have also been considered 5-7 .In Bahia, there are serious limitations on high complexity cardiovascular care in the public system, which needs to be reviewed, aiming at a recasting of the system. The city of Feira de Santana, with 600,000 inhabitants, the largest city of inland Bahia State, has only one public hospital and three private hospitals with intensive care units, where all the cardiological care of the region takes place, creating favorable conditions for the study of these issues. Therefore, the assessment of the mortality and morbidity in the hospital phase of AMI, the coronary risk profile of public and private patients, and the quality of health care in that city can provide relevant data to help correct these serious distortions i...

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Maior letalidade e morbidade por infarto agudo do miocárdio em hospital público, em Feira de Santana - Bahia

Ferreira¹,

Correia²,

Reis³

et al. 2009

Arq. Bras. Cardiol.

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“…Another national 30 study reported the impact of adopting institutional protocols of AMI care at a tertiary university hospital, and pointed out to improved doctors' adhesion to scientific evidence-based conducts and reduced hospital mortality. The authors compared two series of cases admitted to the intensive care unit, and the second one was in the period in which there was incorporation of clinical protocols for AMI care.…”

Section: Discussionmentioning

confidence: 99%

Implementando diretrizes clínicas na atenção ao infarto agudo do miocárdio em uma emergência pública

Escosteguy

Teixeira

Portela

et al. 2011

Arq. Bras. Cardiol.

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“…No que diz respeito à variável idade, foi observado que a maioria dos pacientes acometidos encontrava-se na faixa etária entre 50 a 69 anos, em estudos com resultados semelhantes, os pacientes com diagnóstico de IAM apresentaram idade média de 60 anos (MATTOS et al, 2002;MUNHOZ;OLIVEIRA, 2000;ESCOSTEGUY et al, 2003;BORDON et al, 2004;SOUSA et al, 2006;EVANGELISTA;BARRETO;GUERRA, 2008). Esta pesquisa demonstrou predominância quanto ao gênero masculino de 10 (71,4%) pacientes, corroborando com a literatura (ESCOTEGUY et al, 2003).…”

Section: Discussionunclassified

Características Do Atendimento Aos Pacientes Com Dor Precordial No Pronto Atendimento De Um Hospital Geral

Faria¹,

Machado

Gianvecchio³

2012

RevistaUnivap

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Redução da mortalidade após implementação de condutas consensuais em pacientes com infarto agudo do miocárdio

Abstract: The implementation of standard protocols for the treatment of acute myocardial infarction was accompanied by a significant reduction in the 30-day mortality rate.

Cited by 10 publications

References 21 publications

Maior letalidade e morbidade por infarto agudo do miocárdio em hospital público, em Feira de Santana - Bahia

Maior letalidade e morbidade por infarto agudo do miocárdio em hospital público, em Feira de Santana - Bahia

Implementando diretrizes clínicas na atenção ao infarto agudo do miocárdio em uma emergência pública

Características Do Atendimento Aos Pacientes Com Dor Precordial No Pronto Atendimento De Um Hospital Geral

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