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| Format: | Artículo científico |
| Sprache: | en |
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Sociedad Argentina de Cardiología
2014
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| Online-Zugang: | https://www.redalyc.org/articulo.oa?id=305332235006 |
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Inhaltsangabe:
- Quality of Care for Acute Myocardial infarction in Argentina. Observations from the SCAR (Acute Coronary Syndromes in Argentina) registry Horacio E. Fernández Jorge A. Bilbao Hernán Cohen Arazi María L. Ayerdi Juan M. Telayna Ernesto A. Duronto Ricardo Villarreal Patricia Blanco Claudio Higa Medicina Key words Healthcare quality Balloon angioplasty Thrombolytic therapy Myocardial infarction Introduction: Quality assessments help to quantify the gap between healthcare provision and what should be awarded. There are specific measurements on quality of medical care for myocardial infarction which standardize the quality information that every institut ion should determine for self-assessment and for comparison with others. o bjective: The aim of this study was to analyze quality of care for myocardial infarction data in our country using the SCAR (Acute Coro - nary Syndromes in Argentina) Multicenter Registry. Methods: Quality of care data for myocardial infarction was analyzed in patients included in the database of the SCAR Multicenter Registry using definitions of the “ACC/AHA 2008 performance measures for adults with ST-elevation and non-ST-elevation myocardial infarction” document. r esults: The study analyzed 751 myocardial infarction cases with complete data on quality indicators. Aspirin, betablockers, statins and angiotensin antagonists were used in nearly 90% of patients. The exception was clopidogrel which was used in 72.5% of patients not receiv - ing mechanical reperfusion. Ventricular function was assessed during hospitalization in 90.2% of cases. A reperfusion strategy was used in 90.1% of ST-segment-elevation infarctions and less than 12-hour evolution. Door-to-balloon time was < 90 minutes in 50.8% of cases, while door-to-needle time was < 40.5%. Conclusions: Overall, there was high compliance to pharmacological and reperfusion treatments except in the use of clopidogrel without mechanical revascularization, and low compliance to the appropriate times of reperfusion therapy. 2014 artículo científico 0034-7000 https://www.redalyc.org/articulo.oa?id=305332235006 en http://www.redalyc.org/revista.oa?id=3053 Revista Argentina de Cardiología application/pdf Sociedad Argentina de Cardiología Revista Argentina de Cardiología (Argentina) Num.5 Vol.82