Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.
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,...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidad Nacional de Córdoba
2023-12-01
|
| Series: | Revista de la Facultad de Ciencias Médicas de Córdoba |
| Subjects: | |
| Online Access: | https://revistas.unc.edu.ar/index.php/med/article/view/42094 |
| _version_ | 1797375310599028736 |
|---|---|
| author | Luis Enrique Remedios-Carbonell Dayani Arteaga-Guerra Maidelis Prieto-Guerra Maikel Santos-Medina Miguel Rodriguez-Ramos |
| author_facet | Luis Enrique Remedios-Carbonell Dayani Arteaga-Guerra Maidelis Prieto-Guerra Maikel Santos-Medina Miguel Rodriguez-Ramos |
| author_sort | Luis Enrique Remedios-Carbonell |
| collection | DOAJ |
| 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.
|
| first_indexed | 2024-03-08T19:22:24Z |
| format | Article |
| id | doaj.art-5f572154482545bda7958b14081c3a33 |
| institution | Directory Open Access Journal |
| issn | 0014-6722 1853-0605 |
| language | English |
| last_indexed | 2024-03-08T19:22:24Z |
| publishDate | 2023-12-01 |
| publisher | Universidad Nacional de Córdoba |
| record_format | Article |
| series | Revista de la Facultad de Ciencias Médicas de Córdoba |
| spelling | doaj.art-5f572154482545bda7958b14081c3a332023-12-26T17:00:17ZengUniversidad Nacional de CórdobaRevista de la Facultad de Ciencias Médicas de Córdoba0014-67221853-06052023-12-0180410.31053/1853.0605.v80.n4.42094Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba.Luis Enrique Remedios-Carbonell0Dayani Arteaga-Guerra1Maidelis Prieto-Guerra2Maikel Santos-Medina3Miguel Rodriguez-Ramos4General Hospital Camilo CienfuegosGeneral Hospital Camilo CienfuegosGeneral Hospital Hermanos AmeijeirasGeneral Hospital Ernesto GuevaraGeneral Hospital Camilo Cienfuegos 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. https://revistas.unc.edu.ar/index.php/med/article/view/42094quality of healthcareacute myocardial infarctionmedical records |
| spellingShingle | Luis Enrique Remedios-Carbonell Dayani Arteaga-Guerra Maidelis Prieto-Guerra Maikel Santos-Medina Miguel Rodriguez-Ramos Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba. Revista de la Facultad de Ciencias Médicas de Córdoba quality of healthcare acute myocardial infarction medical records |
| title | Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba. |
| title_full | Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba. |
| title_fullStr | Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba. |
| title_full_unstemmed | Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba. |
| title_short | Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba. |
| title_sort | quality of care for patients with st segment elevation myocardial infarction before covid 19 pandemic in cuba |
| topic | quality of healthcare acute myocardial infarction medical records |
| url | https://revistas.unc.edu.ar/index.php/med/article/view/42094 |
| work_keys_str_mv | AT luisenriqueremedioscarbonell qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincuba AT dayaniarteagaguerra qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincuba AT maidelisprietoguerra qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincuba AT maikelsantosmedina qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincuba AT miguelrodriguezramos qualityofcareforpatientswithstsegmentelevationmyocardialinfarctionbeforecovid19pandemicincuba |