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2015, Number 2

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Revista de Ciencias Médicas de la Habana 2015; 21 (2)

Relation of pre hospitable transportation with complications and mortality of acute myocardial infarction

Sera BRA, Vasallo CY, Fernández CI, Reyes CR

Language: Spanish
References: 19
Page: 429-442
PDF size: 229.85 Kb.


ABSTRACT

Introduction: acute myocardial infarction is the main cardiovascular disorder that causes lethal complications if the treatment of reperfusion is not early established. The functioning of a medical system transferring to another hospital where survival and life quality of affected patients may be possible is crucial.
Objective: to relate the type of pre hospitable transportation with the municipality of origin, application of thrombolysis, complications and general mortality in patients with acute myocardial infarction.
Methods: an analytic transversal descriptive work was performed in 100 admitted patients with acute myocardial infarction in the Intensive Care Unit of “Aleida Fernández” teaching hospital from Güines, from December 1st, 2011 to November 30th, 2012. The studied variables were age, sex, type of transfer to the hospital, municipality of origin, application of thrombolysis, complications and general mortality by cardiac failure cardiogenic shock and cardiac arrhythmias. Absolute and relative frequencies were calculated; Ji Square was applied to determine the relation among variables.
Results: 60 a 79 year-old patients and the male sex prevailed. The most used transportation was vital basic support, patients from Güines prevailed. The largest was the non-application of thrombolysis. A high incidence of complications and mortality was observed, which prevailed the vital basic support transfer. There was a significant statistic relation between the type of transportation and the municipality of origin.
Conclusion: the type of pre hospitable transfer falls into complications and general mortality of patients with acute myocardial infarction.


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