Guides of clinical practice in the management of acute myocardial infarction. Two different periods.

<strong>Background:</strong> The elaboration of clinical practice guides has each day a greater significance in the medical attention, but we should not forget its efficacy assessment once they have been established. <strong>Objectives:</strong> To evaluate the application an...

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Main Authors: Brandy Viera Valdés, Francisco Valladares Carvajal, Marcos D. Iraola Ferrer, Luis Gustavo Del Sol, Pablo. A. Rodríguez
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2006-08-01
Series:Medisur
Subjects:
Online Access:http://medisur.sld.cu/index.php/medisur/article/view/194
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author Brandy Viera Valdés
Francisco Valladares Carvajal
Marcos D. Iraola Ferrer
Luis Gustavo Del Sol
Pablo. A. Rodríguez
author_facet Brandy Viera Valdés
Francisco Valladares Carvajal
Marcos D. Iraola Ferrer
Luis Gustavo Del Sol
Pablo. A. Rodríguez
author_sort Brandy Viera Valdés
collection DOAJ
description <strong>Background:</strong> The elaboration of clinical practice guides has each day a greater significance in the medical attention, but we should not forget its efficacy assessment once they have been established. <strong>Objectives:</strong> To evaluate the application and impact of the clinical practice guides in the final result of the acute myocardial infarction inn-patients, comparing two different periods of its application (1997 and 2001). <strong>Methods:</strong> A prospective study of a series of cases in its respective years was done. A total of 315 patients were involved, 154 in 1997; and 161 in 2001. The following variables were analyzed: risk factors, symptoms, complementary tests result, medical attention related aspects, as well as the patient evaluation until dismissal. <strong>Results:</strong> When comparatively analyzed the two series, a significant mortality reduction in the year 2001 was observed: it lowered from 35, 0 % in 1997 to 17, 4 % in the second patients group. In 2001 the risk of dying from an infarction was two times less than in 1997 (relative risk: 2, 02 (1, 35 – 3, 01). <strong>Conclusions:</strong> Mortality reduction for myocardial infarction in this hospital could be related, in a high percentage, with the adequate use of the clinical practice guides, used nowadays in the management of such affection.<strong><br /></strong>
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spelling doaj.art-9656313b3d624fb392ed6ba2403fe7442024-03-04T23:09:34ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2006-08-01421418194Guides of clinical practice in the management of acute myocardial infarction. Two different periods.Brandy Viera ValdésFrancisco Valladares CarvajalMarcos D. Iraola FerrerLuis Gustavo Del SolPablo. A. Rodríguez<strong>Background:</strong> The elaboration of clinical practice guides has each day a greater significance in the medical attention, but we should not forget its efficacy assessment once they have been established. <strong>Objectives:</strong> To evaluate the application and impact of the clinical practice guides in the final result of the acute myocardial infarction inn-patients, comparing two different periods of its application (1997 and 2001). <strong>Methods:</strong> A prospective study of a series of cases in its respective years was done. A total of 315 patients were involved, 154 in 1997; and 161 in 2001. The following variables were analyzed: risk factors, symptoms, complementary tests result, medical attention related aspects, as well as the patient evaluation until dismissal. <strong>Results:</strong> When comparatively analyzed the two series, a significant mortality reduction in the year 2001 was observed: it lowered from 35, 0 % in 1997 to 17, 4 % in the second patients group. In 2001 the risk of dying from an infarction was two times less than in 1997 (relative risk: 2, 02 (1, 35 – 3, 01). <strong>Conclusions:</strong> Mortality reduction for myocardial infarction in this hospital could be related, in a high percentage, with the adequate use of the clinical practice guides, used nowadays in the management of such affection.<strong><br /></strong>http://medisur.sld.cu/index.php/medisur/article/view/194pautas prácticasmanejo de la enfermedadinfarto del miocardio
spellingShingle Brandy Viera Valdés
Francisco Valladares Carvajal
Marcos D. Iraola Ferrer
Luis Gustavo Del Sol
Pablo. A. Rodríguez
Guides of clinical practice in the management of acute myocardial infarction. Two different periods.
Medisur
pautas prácticas
manejo de la enfermedad
infarto del miocardio
title Guides of clinical practice in the management of acute myocardial infarction. Two different periods.
title_full Guides of clinical practice in the management of acute myocardial infarction. Two different periods.
title_fullStr Guides of clinical practice in the management of acute myocardial infarction. Two different periods.
title_full_unstemmed Guides of clinical practice in the management of acute myocardial infarction. Two different periods.
title_short Guides of clinical practice in the management of acute myocardial infarction. Two different periods.
title_sort guides of clinical practice in the management of acute myocardial infarction two different periods
topic pautas prácticas
manejo de la enfermedad
infarto del miocardio
url http://medisur.sld.cu/index.php/medisur/article/view/194
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