Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients

Background: In Cuba, there is neither a registry of ST Elevation Myocardial Infarction (STEMI), nor are analysis of performance measures widely reported.Objective: A review of Cuban studies of patients with STEMI was carried out to describe quality of medical care.Methods: Cochrane Library, EMBASE,...

Descripción completa

Detalles Bibliográficos
Autores principales: Remedios-Carbonell, Luis Enrique, Arteaga-Guerra, Dayani, Prieto-Guerra, Maidelis, Martinez-Garcia, Geovedys, Santos-Medina, Maikel, Rodriguez-Ramos, Miguel
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
quality of healthcare
acute myocardial infarction
medical records
calidad de atención
infarto agudo de miocardio
registros médicos
qualidade dos cuidados de saúde
infarto agudo do miocárdio
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/42094
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-42094
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Inglés
format Artículo revista
topic quality of healthcare
acute myocardial infarction
medical records
calidad de atención
infarto agudo de miocardio
registros médicos
qualidade dos cuidados de saúde
infarto agudo do miocárdio
registros médicos
spellingShingle quality of healthcare
acute myocardial infarction
medical records
calidad de atención
infarto agudo de miocardio
registros médicos
qualidade dos cuidados de saúde
infarto agudo do miocárdio
registros médicos
Remedios-Carbonell, Luis Enrique
Arteaga-Guerra, Dayani
Prieto-Guerra, Maidelis
Martinez-Garcia, Geovedys
Santos-Medina, Maikel
Rodriguez-Ramos, Miguel
Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients
topic_facet quality of healthcare
acute myocardial infarction
medical records
calidad de atención
infarto agudo de miocardio
registros médicos
qualidade dos cuidados de saúde
infarto agudo do miocárdio
registros médicos
author Remedios-Carbonell, Luis Enrique
Arteaga-Guerra, Dayani
Prieto-Guerra, Maidelis
Martinez-Garcia, Geovedys
Santos-Medina, Maikel
Rodriguez-Ramos, Miguel
author_facet Remedios-Carbonell, Luis Enrique
Arteaga-Guerra, Dayani
Prieto-Guerra, Maidelis
Martinez-Garcia, Geovedys
Santos-Medina, Maikel
Rodriguez-Ramos, Miguel
author_sort Remedios-Carbonell, Luis Enrique
title Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients
title_short Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients
title_full Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients
title_fullStr Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients
title_full_unstemmed Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients
title_sort quality of care for patients with st-segment elevation myocardial infarction before covid-19 pandemic in cuba.: review of 17 reports with 7823 patients
description Background: In Cuba, there is neither a registry of ST Elevation Myocardial Infarction (STEMI), nor are analysis of performance measures widely reported.Objective: A review of Cuban studies of patients with STEMI was carried out to describe quality of medical care.Methods: Cochrane Library, EMBASE, PubMed, Scopus and SciELO, as well as archives of national journals, were all searched for articles on STEMI in Cuba, from 2000 to March 2020. They were included if they reported number or percentage of application of reperfusion therapy; administration of aspirin, enalapril-captopril (ACEI) or beta-blockers; status of patients at discharge; and patient or system delay times. Finally, 17 reports with 7823 patients were included.Results: Thrombolytic therapy was administered to 3991 patients (51%), and 695 patients (8.9%) died. Only four studies, with 880 patients, presented data about prescription of ACEI, aspirin, and beta-blockers, which were administered to 381 (45.3%), 824 (93.6%), 464 (52.7%) patients, respectively. Coronary intervention was reported in 5 studies with 3422 patients, being performed in 661 (19.3%).  Conclusions: Quality of care of patients with STEMI seems to be poorer than reported in similar scenarios. Thrombolytic administration is still low, although mortality decreases in this period. Other pharmacological treatments were insufficiently fulfilled.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/42094
work_keys_str_mv AT remedioscarbonellluisenrique qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincubareviewof17reportswith7823patients
AT arteagaguerradayani qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincubareviewof17reportswith7823patients
AT prietoguerramaidelis qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincubareviewof17reportswith7823patients
AT martinezgarciageovedys qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincubareviewof17reportswith7823patients
AT santosmedinamaikel qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincubareviewof17reportswith7823patients
AT rodriguezramosmiguel qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincubareviewof17reportswith7823patients
AT remedioscarbonellluisenrique calidaddeatencionapacientesconinfartoagudodemiocardioconelevaciondelsegmentostantelapandemiadecovid19encubarevisionde17informescon7823pacientes
AT arteagaguerradayani calidaddeatencionapacientesconinfartoagudodemiocardioconelevaciondelsegmentostantelapandemiadecovid19encubarevisionde17informescon7823pacientes
AT prietoguerramaidelis calidaddeatencionapacientesconinfartoagudodemiocardioconelevaciondelsegmentostantelapandemiadecovid19encubarevisionde17informescon7823pacientes
AT martinezgarciageovedys calidaddeatencionapacientesconinfartoagudodemiocardioconelevaciondelsegmentostantelapandemiadecovid19encubarevisionde17informescon7823pacientes
AT santosmedinamaikel calidaddeatencionapacientesconinfartoagudodemiocardioconelevaciondelsegmentostantelapandemiadecovid19encubarevisionde17informescon7823pacientes
AT rodriguezramosmiguel calidaddeatencionapacientesconinfartoagudodemiocardioconelevaciondelsegmentostantelapandemiadecovid19encubarevisionde17informescon7823pacientes
AT remedioscarbonellluisenrique qualidadedoatendimentoapacientescominfartodomiocardiocomsupradesnivelamentodosegmentostantesdapandemiadecovid19emcubarevisaode17relatorioscom7823pacientes
AT arteagaguerradayani qualidadedoatendimentoapacientescominfartodomiocardiocomsupradesnivelamentodosegmentostantesdapandemiadecovid19emcubarevisaode17relatorioscom7823pacientes
AT prietoguerramaidelis qualidadedoatendimentoapacientescominfartodomiocardiocomsupradesnivelamentodosegmentostantesdapandemiadecovid19emcubarevisaode17relatorioscom7823pacientes
AT martinezgarciageovedys qualidadedoatendimentoapacientescominfartodomiocardiocomsupradesnivelamentodosegmentostantesdapandemiadecovid19emcubarevisaode17relatorioscom7823pacientes
AT santosmedinamaikel qualidadedoatendimentoapacientescominfartodomiocardiocomsupradesnivelamentodosegmentostantesdapandemiadecovid19emcubarevisaode17relatorioscom7823pacientes
AT rodriguezramosmiguel qualidadedoatendimentoapacientescominfartodomiocardiocomsupradesnivelamentodosegmentostantesdapandemiadecovid19emcubarevisaode17relatorioscom7823pacientes
first_indexed 2024-09-03T21:04:34Z
last_indexed 2024-09-03T21:04:34Z
_version_ 1809210382182514688
spelling I10-R327-article-420942024-04-24T19:04:13Z Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.: review of 17 reports with 7823 patients Calidad de atención a pacientes con infarto agudo de miocardio con elevación del segmento ST ante la pandemia de COVID-19 en Cuba.: revisión de 17 informes con 7823 pacientes Qualidade do atendimento a pacientes com infarto do miocárdio com supradesnivelamento do segmento ST antes da pandemia de COVID-19 em Cuba.: revisão de 17 relatórios com 7.823 pacientes Remedios-Carbonell, Luis Enrique Arteaga-Guerra, Dayani Prieto-Guerra, Maidelis Martinez-Garcia, Geovedys Santos-Medina, Maikel Rodriguez-Ramos, Miguel quality of healthcare acute myocardial infarction medical records calidad de atención infarto agudo de miocardio registros médicos qualidade dos cuidados de saúde infarto agudo do miocárdio registros médicos Background: In Cuba, there is neither a registry of ST Elevation Myocardial Infarction (STEMI), nor are analysis of performance measures widely reported.Objective: A review of Cuban studies of patients with STEMI was carried out to describe quality of medical care.Methods: Cochrane Library, EMBASE, PubMed, Scopus and SciELO, as well as archives of national journals, were all searched for articles on STEMI in Cuba, from 2000 to March 2020. They were included if they reported number or percentage of application of reperfusion therapy; administration of aspirin, enalapril-captopril (ACEI) or beta-blockers; status of patients at discharge; and patient or system delay times. Finally, 17 reports with 7823 patients were included.Results: Thrombolytic therapy was administered to 3991 patients (51%), and 695 patients (8.9%) died. Only four studies, with 880 patients, presented data about prescription of ACEI, aspirin, and beta-blockers, which were administered to 381 (45.3%), 824 (93.6%), 464 (52.7%) patients, respectively. Coronary intervention was reported in 5 studies with 3422 patients, being performed in 661 (19.3%).  Conclusions: Quality of care of patients with STEMI seems to be poorer than reported in similar scenarios. Thrombolytic administration is still low, although mortality decreases in this period. Other pharmacological treatments were insufficiently fulfilled. Antecedentes: En Cuba no existe un registro nacional de Infarto Agudo de Miocardio con Elevación de Segmento ST (IAMCEST). Tampoco son publicadas métricas de calidad de atención a estos pacientes. Objetivo: Esta revisión de estudios cubanos de pacientes con IAMCEST se propone describir la calidad de la atención médica.Métodos: se localizaron artículos de IAMCEST en Librería Cochrane, EMBASE, PubMed, Scopus, SciELO y en archivos de revistas nacionales, hasta marzo de 2020. Se incluían si reportaban numero o porciento de aplicación de terapia de reperfusión, de administración de captopril/enalapril (IECA) o de betabloqueadores; estado de pacientes al egreso; demora de pacientes o Sistema. Finalmente, se incluyeron 17 estudios con 7823 pacientes. Resultados: La trombolisis fue administrada a 3991 pacientes (51%); fallecieron 695 (8.9%). Cuatro estudios con 880 pacientes presentaron información sobre prescripción de IECA, aspirina o betabloqueadores, siendo administrados a 381 (45.3%), 824 (93.6%), 464 (52.7%) pacientes, respectivamente. Cinco estudios con 3442 pacientes reportaron realización de intervencionismo coronario, practicado en 661 (19.3%).  Conclusiones: La calidad de atención a pacientes con IAMCEST es más baja que en escenarios similares. La administración de trombolítico aún es deficiente, aunque la mortalidad descendió en este periodo. El resto de fármacos fueron insuficientemente administrados. Fundamento: Em Cuba, não há registro de Infarto do Miocárdio com Elevação do ST (STEMI), nem análises de medidas de desempenho são amplamente divulgadas.Objetivo: Uma revisão de estudos cubanos de pacientes com STEMI foi realizada para descrever a qualidade do atendimento médico.Métodos : Biblioteca Cochrane, EMBASE, PubMed, Scopus e SciELO, bem como arquivos de revistas nacionais, foram pesquisados artigos sobre STEMI em Cuba, de 2000 a março de 2020. Eles foram incluídos se relatassem número ou porcentagem de aplicação de terapia de reperfusão ; administração de aspirina, enalapril-captopril (IECA) ou betabloqueadores; situação dos pacientes na alta; e tempos de atraso do paciente ou do sistema. Finalmente, 17 relatórios com 7.823 pacientes foram incluídos. Resultados: A terapia trombolítica foi administrada a 3.991 pacientes (51%) e 695 pacientes (8,9%) morreram. Apenas quatro estudos, com 880 pacientes, apresentaram dados sobre a prescrição de IECA, aspirina e betabloqueadores, que foram administrados a 381 (45,3%), 824 (93,6%), 464 (52,7%) pacientes, respectivamente. A intervenção coronária foi relatada em 5 estudos com 3.422 pacientes, sendo realizada em 661 (19,3%). Conclusões: A qualidade do atendimento de pacientes com STEMI parece ser pior do que o relatado em cenários semelhantes. A administração de trombolíticos ainda é baixa, embora a mortalidade diminua nesse período. Outros tratamentos farmacológicos foram insuficientemente cumpridos.​ Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-12-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/42094 10.31053/1853.0605.v80.n4.42094 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 4 (2023): Publicaciones especiales por 80° Aniversario; 538-558 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 4 (2023): Publicaciones especiales por 80° Aniversario; 538-558 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 4 (2023): Publicaciones especiales por 80° Aniversario; 538-558 1853-0605 0014-6722 10.31053/1853.0605.v80.n4 eng https://revistas.unc.edu.ar/index.php/med/article/view/42094/44174 https://revistas.unc.edu.ar/index.php/med/article/view/42094/44258 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

Ejemplares similares