Factores Asociados al Tiempo de Atenciandoacute;n de Pacientes con Diagnandoacute;stico de Iamcest Sometidos a Terapia de Reperfusiandoacute;n en dos Clandiacute;nicas en Ibaguandeacute;

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Archivos de Medicina Pub Date : 2021-01-01 DOI:10.36648/1698-9465.17.1.1460
ra Cardona-Moica, Yizeth Muñoz-Sierra, David Bracho-Navarro, German Augusto-Molina, Nehomar Pájaro-Galvis, Jorge-Eduardo Rico-Fontalvo, Rodrigo Daza-Arnedo, Mayralej, ra Ahumada-Blanco, Dagoberto Serpa-Díaz, Luis Díaz-Rosales, Tomás Acosta
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Abstract

Cardiovascular diseases are the leading cause of death worldwide and their management implies an early diagnosis and early coronary reperfusion. In Colombia, the department of Tolima registers the highest death rate from this cause, therefore the objective of the study is to analyze the factors associated with the care time of patients with STEMI undergoing reperfusion therapy in two IPS in the city. This study was conducted in Ibague between 2016 and 2017, longitudinal, analytical, retrospective from time to event. A review of medical records was carried out and of the total of 2755 catheterizations performed during this period, 126 were selected with STEMI, analyzing sociodemographic and clinical conditions of each of the patients. For the analysis of care times, 49 patients who were admitted to the institution from the emergency service were studied. As results, it was found that the average age was 63 years, 71.4% were men. The most prevalent comorbidities were hypertension, dyslipidemia and DM-2. No patient received prehospital medical care. Median gate time - EKG was 27 minutes, gate - needle 75 minutes, and gate - balloon 26 hours. It is concluded that it is necessary to carry out similar studies to know the Latin American statistics since most of the interventions carried out are not within the optimal times established in the international guidelines. Gate time - EKG less than 10 minutes was achieved in 35% of cases. 80% of the patients consulted the window for thrombolysis and only 39% received fibrinolysis in less than 60 minutes; 6.1% were taken to ICCP in less than 90 minutes. With the availability of the hemodynamic unit, a reduction in attention times was achieved compared to the consultation during hours without its availability (p value: 0.033).
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在Ibaguandeacute的两项临床试验中,急性诊断为amci的患者接受急性再灌注治疗的相关因素;
心血管疾病是世界范围内死亡的主要原因,其管理意味着早期诊断和早期冠状动脉再灌注。在哥伦比亚,托利马省登记的这一原因的死亡率最高,因此本研究的目的是分析该市两个IPS中STEMI患者接受再灌注治疗的护理时间的相关因素。这项研究于2016年至2017年在伊巴格进行,从时间到事件进行纵向、分析和回顾性研究。对医疗记录进行了审查,在此期间共进行了2755次导管插入术,其中126次选择了STEMI,分析了每位患者的社会人口统计学和临床状况。为了分析护理时间,研究了49名从急诊部门进入该机构的患者。结果发现,平均年龄为63岁,71.4%为男性。最常见的合并症是高血压、血脂异常和DM-2。没有患者接受院前医疗护理。门针-心电图的中位时间为27分钟,门针- 75分钟,门球囊- 26小时。结论是,有必要进行类似的研究以了解拉丁美洲的统计数据,因为所进行的大多数干预措施都不在国际准则规定的最佳时间内。门限时间-心电图小于10分钟的病例占35%。80%的患者咨询了溶栓窗口,只有39%的患者在60分钟内接受了纤溶;6.1%的患者在90分钟内被送往ICCP。随着血流动力学单元的可用性,与没有其可用性的咨询时间相比,减少了注意时间(p值:0.033)。
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来源期刊
Archivos de Medicina
Archivos de Medicina MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
24 weeks
期刊介绍: Para el desarrollo científico no sólo es necesario una constante labor investigadora, sino también una labor integradora y crítica de todos los resultados alcanzados en relación con un tema determinado que permita generar verdadero conocimiento sobre el mismo. Por otro lado, el crecimiento de la producción científica obliga a los profesionales sanitarios a constantes esfuerzos por mantenerse "al día" en cualquier disciplina de la medicina. Con esta doble función de integrar conocimientos y facilitar su difusión, nace Archivos de Medicina.
期刊最新文献
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