Análise da atenção pré-hospitalar ao acidente vascular cerebral e ao infarto agudo do miocárdio na população idosa de minas gerais

Abstract

objectIve. To analyze the association between prehospital components of the National Urgent Care Policy (Política Nacional de Atenção às Urgências, PNAU) -the Family Health Strategy (Estratégia de Saúde da Família, ESF) and the Mobile Emergency Care Service (Serviço de Atendimento Móvel de Urgência, SAMU) -and indicators of morbidity and mortality from stroke and acute myocardial infarction (AMI) in the elderly population in preselected municipalities of the State of Minas Gerais, Brazil. Methods. A longitudinal ecological study was carried out. Data analysis was performed using a series of multilevel regression models. Health indicators were analyzed from 2001 to 2007. results. Statistically significant associations were found between indicators of ESF coverage and presence of SAMU with indicators of stroke and AMI mortality, for both sexes, except for male AMI. Regarding hospital admission rates, the most consistent effects were identified for female AMI. conclusIon. The heterogeneity of the results points to an incipient stage of PNAU, which does not allow the observation of clear effects. This finding may also suggest that this policy has not yet been able to achieve its goals concerning the elderly. Further evaluation of PNAU is essential for the establishment of strategies that can enhance its effectiveness.

The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review

“…There was variability in the selected conditions, categorization of exposure, target population, and outcomes measured in the 13 studies analyzing hospitalizations for primary care sensitive conditions. Four [ 41 , 43 , 46 , 47 ] of these studies were considered of generally lower quality ( S4 Table ).…”

“…Of these studies, eight found a decrease in the hospitalization rates associated with increased FHS coverage, although in two [ 42 , 43 ] the effect was seen only in women for diabetes and cardiovascular diseases. The reported effect sizes ranged from 0.71–11% for each 10% increase in FHS coverage.…”

Hospitalização por acidente vascular encefálico isquêmico no Brasil: estudo ecológico sobre possível impacto do Hiperdia

“…It was also observed that all the FU that have more than 80% of the population covered by the SAMU have declined HIS mortality. Luz et al 30 showed that the coverage of the Family Health Strategy and the presence of a SAMU influenced the mortality by stroke in the FU of Minas Gerais, the first one by prevention of the occurrence and the second one by the 31 verified that the cases of IS admitted in hospitals are from emergency services such as the SAMU with lower time of neuroimaging entry-diagnosis and also higher frequency of thrombolytic therapy.…”

Family Evaluation Of Hospitalized Elderly With Encephalic Vascular Accident Under Palliative Care

“…Studies [21] have proposed that, historically, health problems in elderly are correlated with the precariousness of the current public health model in the country. In contrast, results of international studies [22] developed in England with 80 patients with sequelae of stroke and 34 family caregivers showed that health services that provided care to these patients offered support to physical and emotional needs, social activities and leisure.…”