Abstract

Factores Asociados al Tiempo de Atención de Pacientes con Diagnóstico de Iamcest Sometidos a Terapia de Reperfusión en dos Clínicas en Ibagué

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 Ibagué 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).


Author(s):

Sandra Cardona-Moica, Yizeth Muñoz-Sierra, David Bracho-Navarro, German Augusto-Molina, Nehomar Pájaro-Galvis, Jorge Rico-Fontalvo, Rodrigo Daza-Arnedo, Mayralejandra Ahumada-Blanco, Dagoberto Serpa-Díaz, Luis Díaz-Rosales and Tomás Andrés Acosta



Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+
Google scholar citation report
Citations : 1815

Archivos de Medicina received 1815 citations as per google scholar report

Abstracted/Indexed in
  • Google Scholar
  • Genamics JournalSeek
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • Scimago
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Proquest Summons
  • University Grants Commission
  • Geneva Foundation for Medical Education and Research
  • Secret Search Engine Labs

View More »

Flyer image
izmir escort k─▒zlar ├že┼čme escort izmir eskort bayan ├že┼čme escort denizli eskort mersin eskort ankara escort k─▒zlar ankara eskort bayan izmir escort k─▒zlar izmir escort k─▒zlar ankara eskort bayan izmir eskort bayan izmir eskort bayan
https://wowcappadocia.com
https://cappadocia-hotels.com
https://balloon-rides.net

https://paperio-live.com

rolex replica

https://agario.red

https://naughtyworms.com

Elektronik Sigara
Elektronik Sigara
Replica watches for sale in usa