Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies
Introduction. Presidential medical units are intended to protect the dignitary's health in multiple aspects and work in close relationship with security. There are three central areas of coverage: myocardial infarction, stroke and trauma. By 2016 we had not found information about the resources...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26779 |
| Aporte de: |
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I10-R327-article-26779 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
travel medicine myocardial infarction cerebral infarction thrombolytic therapy medicina del viajero infarto de miocardio infarto cerebral terapia trombolítica medicina de viagem infarto do miocárdio infarto cerebral terapia trombolítica |
| spellingShingle |
travel medicine myocardial infarction cerebral infarction thrombolytic therapy medicina del viajero infarto de miocardio infarto cerebral terapia trombolítica medicina de viagem infarto do miocárdio infarto cerebral terapia trombolítica Caroli, Christian Hoffmann, Diego García, Alejandro Costa, Gastón Giorgi, Mariano Salzberg, Simón Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies |
| topic_facet |
travel medicine myocardial infarction cerebral infarction thrombolytic therapy medicina del viajero infarto de miocardio infarto cerebral terapia trombolítica medicina de viagem infarto do miocárdio infarto cerebral terapia trombolítica |
| author |
Caroli, Christian Hoffmann, Diego García, Alejandro Costa, Gastón Giorgi, Mariano Salzberg, Simón |
| author_facet |
Caroli, Christian Hoffmann, Diego García, Alejandro Costa, Gastón Giorgi, Mariano Salzberg, Simón |
| author_sort |
Caroli, Christian |
| title |
Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies |
| title_short |
Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies |
| title_full |
Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies |
| title_fullStr |
Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies |
| title_full_unstemmed |
Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies |
| title_sort |
argentine presidential medical unit. survey of the argentine hospital network and resources for golden hour pathologies |
| description |
Introduction. Presidential medical units are intended to protect the dignitary's health in multiple aspects and work in close relationship with security. There are three central areas of coverage: myocardial infarction, stroke and trauma. By 2016 we had not found information about the resources on medical centers in Argentina and their integration into healthcare networks.
Objective: Describe the relevant medical centers and their available resources for the medical coverage areas mentioned.
Methods It is a descriptive, cross-sectional study between 12/2016 and 8/2019. The sampling was not probabilistic and for convenience. Variables were reported as proportions and comparisons were made using the chi-square test or Fischer.
Results: 232 centers were entered, 66.8% in capital cities and 67% in the public sector. Capitals were associated with a greater presence of resources: category 3 centers (OR 7.85; 95% CI 3.66-16.84; p <0.000001), angiography (OR 5.94; 95% CI 3.24-10.28; p <0.000001 ), tomography (OR 3.41; 95% CI 1.51-7.69; p=0.002), thrombolytics (OR 3.24; 95% CI 1.37-7.76; p=0.005); except trauma surgery (OR 1.83; 95% CI 0.75-4.46; p=0.17). Private centers were associated with greater resources for reperfusion; and public centers for trauma treatment.
Conclusions: There is an unbalanced distribution of key resources between capital and non-capital cities in large geographical areas that makes it impossible to develop an adequate network for the treatment of heart attack, stroke and trauma. The best quality of care requires combining public and private networks. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
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2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26779 |
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I10-R327-article-267792024-08-27T18:27:12Z Argentine Presidential Medical Unit. Survey of the Argentine hospital network and resources for golden hour pathologies Unidad Médica Presidencial Argentina. Relevamiento de la red hospitalaria Argentina y recursos para patologías de hora de oro Unidade Médica Presidencial Argentina. Pesquisa da rede hospitalar argentina e recursos para patologias da hora de ouro Caroli, Christian Hoffmann, Diego García, Alejandro Costa, Gastón Giorgi, Mariano Salzberg, Simón travel medicine myocardial infarction cerebral infarction thrombolytic therapy medicina del viajero infarto de miocardio infarto cerebral terapia trombolítica medicina de viagem infarto do miocárdio infarto cerebral terapia trombolítica Introduction. Presidential medical units are intended to protect the dignitary's health in multiple aspects and work in close relationship with security. There are three central areas of coverage: myocardial infarction, stroke and trauma. By 2016 we had not found information about the resources on medical centers in Argentina and their integration into healthcare networks. Objective: Describe the relevant medical centers and their available resources for the medical coverage areas mentioned. Methods It is a descriptive, cross-sectional study between 12/2016 and 8/2019. The sampling was not probabilistic and for convenience. Variables were reported as proportions and comparisons were made using the chi-square test or Fischer. Results: 232 centers were entered, 66.8% in capital cities and 67% in the public sector. Capitals were associated with a greater presence of resources: category 3 centers (OR 7.85; 95% CI 3.66-16.84; p <0.000001), angiography (OR 5.94; 95% CI 3.24-10.28; p <0.000001 ), tomography (OR 3.41; 95% CI 1.51-7.69; p=0.002), thrombolytics (OR 3.24; 95% CI 1.37-7.76; p=0.005); except trauma surgery (OR 1.83; 95% CI 0.75-4.46; p=0.17). Private centers were associated with greater resources for reperfusion; and public centers for trauma treatment. Conclusions: There is an unbalanced distribution of key resources between capital and non-capital cities in large geographical areas that makes it impossible to develop an adequate network for the treatment of heart attack, stroke and trauma. The best quality of care requires combining public and private networks. Introducción. Las unidades médicas presidenciales están destinadas a proteger la salud del dignatario en múltiples aspectos y en íntima relación con la seguridad. Existen tres áreas centrales de cobertura: el infarto de miocardio, el accidente cerebrovascular y trauma. Hacia el año 2016 no hemos hallado información sobre los recursos de los centros médicos en Argentina y su integración en redes de atención.Objetivo: Describir los centros médicos relevados y sus recursos para las áreas médicas de cobertura mencionadas.Métodos. Es un estudio descriptivo, de corte trasversal entre 12/2016 y 8/2019. El muestreo fue no probabilístico y por conveniencia. Las variables se reportaron como proporciones y las comparaciones se realizaron mediante el test de chi cuadrado o Fischer.Resultados: Ingresaron 232 centros, 66.8% en ciudades capitales y 67% del ámbito público. Las capitales se asociaron con mayor presencia de recursos: centros categoría 3 (OR 7.85; IC del 95% 3.66-16.84; p<0,000001), angiografía (OR 5.94; IC del 95% 3.24-10.28; p<0,000001), tomografía (OR 3.41; IC del 95% 1.51-7.69; p=0,002), trombolíticos (OR 3.24; IC del 95% 1.37-7.76; p=0,005); excepto cirugía de trauma (OR 1.83; IC del 95% 0.75-4.46; p=0,17). Los centros privados se asociaron con mayores recursos para la reperfusión; y los centros públicos para el tratamiento del trauma.Conclusiones: Se observa una desbalanceada distribución de recursos claves entre ciudades capitales y no capitales en extensas áreas geográficas que imposibilita el desarrollo de una adecuada red para el tratamiento del infarto, accidente cerebrovascular y trauma. La mejor calidad de atención requiere combinar redes públicas y privadas. Introdução As unidades médicas presidenciais destinam-se a proteger a saúde dos dignitários em múltiplos aspectos e em íntima relação com a segurança. Existem três áreas centrais de cobertura: infarto do miocárdio, acidente vascular cerebral e trauma. Até 2016, não encontramos informações sobre os recursos dos centros médicos na Argentina e sua integração nas redes de saúde. Objetivo: Descrever os centros médicos relevantes e seus recursos para as áreas de cobertura médica mencionadas. Métodos Trata-se de um estudo descritivo, de corte transversal, entre 12/2016 e 8/2019. A amostragem não foi probabilística e por conveniência. As variáveis foram relatadas em proporções e as comparações foram feitas usando o teste do qui-quadrado ou Fischer. Resultados: entrada de 232 centros, 66,8% nas capitais e 67% na esfera pública. Os capitais foram associados a uma maior presença de recursos: centros da categoria 3 (OR 7,85; IC 95% 3,66-16,84; p <0,000001), angiografia (OR 5,94; IC 95% 3,24-10,28; p <0,000001 ), tomografia (OR 3,41; IC95% 1,51-7,69; p = 0,002), trombolíticos (OR 3,24; IC95% 1,37-7,76; p = 0,005); exceto cirurgia do trauma (OR 1,83; IC95% 0,75-4,46; p = 0,17). Centros privados foram associados a maiores recursos para reperfusão; e centros públicos para tratamento de trauma. Conclusões: Existe uma distribuição desequilibrada dos principais recursos entre capitais e cidades não capitais em grandes áreas geográficas que impossibilita o desenvolvimento de uma rede adequada para o tratamento de ataque cardíaco, derrame e trauma. A melhor qualidade de atendimento requer a combinação de redes públicas e privadas. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-03-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/26779 10.31053/1853.0605.v77.n1.26779 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 1 (2020); 10-14 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 1 (2020); 10-14 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 1 (2020); 10-14 1853-0605 0014-6722 10.31053/1853.0605.v77.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/26779/29203 https://revistas.unc.edu.ar/index.php/med/article/view/26779/29245 Derechos de autor 2020 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |