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Revista Cubana de Medicina Intensiva y Emergencias

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2014, Number 1

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Rev Cub Med Int Emerg 2014; 13 (1)

Morbimortality of the Intensive Municipal Area of Güira de Melena. Eight years of work

Álvarez RJL, Valdés SO
Full text How to cite this article

Language: Spanish
References: 12
Page: 37-46
PDF size: 156.92 Kb.


Key words:

intensive municipal area, heart illnesses, cerebrovascular illness, coronary thrombolysis, heart stop.

ABSTRACT

Introduction: The intensive municipal areas were created ends of the year 2003, beginning to work at the beginning of the 2004. In the general regulation of policlinic the fundamental missions of this area are enunciated constituting the units of greatest resolving power for the emergent situations, leading units of the urgency and the emergency in each municipality, destined for the initial attention of all critical patients. Objective: Knowing the behavior of the morbimortality in eight years of work in the intensive municipal area of Güira de Melena. Method: Retrospective, longitudinal and descriptive study in a period of eight years in the Intensive Municipal Area of Güira de Melena. The universe and the sample of study were constituted by 4303 patients. Results: The greatest percent of admitted patients were discharged alive to home. The disorders of the rhythm constituted the main illnes and in the 89.44% there was total solution. The illnesses that most contributed to dead patients in the period of study corresponded to the acute heart attack and the heart stop with 12.2% and 64%, respectively. Conclusions: The main illnesses that demanded attention in the IMA were the heart and breathing illnesses. The Bronchial Asthma had the greatest resolving power with 74.9% of total solution. A significant relationship was evidenced between the no application of the thrombolic treatment and the dead patients with heart attack or for heart stop.


REFERENCES

  1. Caballero López A. Conferencia historia de la medicina intensiva y de emergencias en Cuba. Inauguración de la Sociedad Cubana de Medicina Intensiva y Emergencia, 12 de enero de 2008. Disponible en: http://www.uvs.sld.cu/repositorio/wiki-infomed2.0/

  2. Reglamento General de Policlínicos. La Habana: MINSAP; 2009.

  3. Pedley DK, Bissett K, Connolly EM, Goodman CG, Holding I, Pringle TH, et al. Prospective observational cohort study of time saved by prehospital thrombolysis for ST elevation myocardial infaction delivered by paramedics. BMJ. 2003;327:22-26.

  4. Silva Ramos L. Morbi-mortalidad en un área intensiva municipal. Rev Cubana Med Int Emerg 2004;3(2):27-31.

  5. Parellada J. Estudios multicéntricos. ¿Una necesidad? Rev Cubana Med Int Emerg [revista en Internet]. 2003 [Citado 18 Dic 2006];2(2):1. Disponible en: http://bvs.sld.cu/revistas/mie/vol2_2_03/mie01104.pdfm

  6. Iraola Ferrer MD. Estudios multicéntricos. Tres años después siguen siendo necesarios. Rev Cubana Med Int Emerg 2008;7(1):1030-2.

  7. Álvarez Figueredo Z, Iraola Ferrer M, Molina Díaz F, Barco Díaz V. Caracterización de la mortalidad en la unidad de cuidados intensivos. Año 1998. Rev. Cubana Med. 2000;39(4):222-7.

  8. Jiménez Guerra S, Núñez Martínez JF, Domínguez Suárez H, Gómez Castellanos R. Comportamiento de los fallecidos en una UCI polivalente. Estudio de un trienio 1998-2000. Habana. 2002. Disponible en CD: ISBN 959-7164-07-8.

  9. MINSAP. Anuario Estadístico de Salud 2007 - 2010. [consultado 20 Ene 2012]. Disponible en: http://www.infomed.sld.cu/servicios/estadisticas/.

  10. Batista IM, Fernández F, Díeguez A, Terrero J. Mortalidad por infarto cardiaco agudo. Indicadores pronósticos. UCIC. Hospital V. I. Lenin. Holguín. 2000-2001. Correo Científico Médico de Holguín [revista en Internet] 2002 [citado 2 May 2011];6(3): [aprox. 10 p.]. Disponible en: http://www.cocmed.sld.cu/ no63/n63ori3.htm

  11. Cabadés A, Echanove I, Cebrián J, Cardona J, Vals F, Parra V, et al. Características, manejo y pronóstico del paciente con infarto agudo del miocardio en la Comunidad Valenciana en 1995: resultados del registro PRIMVAC. Rev Esp Cardiol. 1999; 52:123-33.

  12. Gort Hernández M, Díaz Solís L. Letalidad por infarto miocárdico agudo. Área de terapia intensiva municipal. Rev Ciencias Médicas Pinar del Río. 2011 Jul- Sep;15(3).




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Rev Cub Med Int Emerg. 2014;13