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Title:
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¿Podemos mejorar el tratamiento de los síndromes coronarios agudos en la atención primaria?
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Author:
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Piqué, Manuel; Torres Puig-gros, Joan; Balsera, Begoña; Hernandez Martin, Maria Isabel; Miñano, Antonio; Worner, Fernando
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Notes:
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Objective: To evaluate a training programme in the primary care of acute coronary syndrome.
Design: A before-during-after comparative cross-sectional study.
Setting: Health areas of Lleida, High Pyrenees and Aran (Spain), from 2003—2006.
Participants: Patients with acute coronary syndrome admitted to the intensive medicine unit
and the coronary unit of the Arnau de Vilanova University Hospital of Lleida after being referred
from home, general practitioner or health centre.
Intervention: A training program was introduced to establish protocols of pre-hospital performance
in acute coronary syndrome (the administration of acetylsalicylic acid, nitroglycerin and
morphine chloride, the performing of an electrocardiogram, the insertion of an intravenous
tube and to speed up care times).
Main measures: Linear trend of the three periods of the study was analyzed through prevalences
ratio and linear trend test.
Results: The intervention showed a statistically significant linear increase in the application of
the aforementioned therapeutic procedures, with the exception of nitroglycerin, which started
out with a higher baseline level, and an improvement of care times. The application of an
electrocardiogram obtained almost optimal levels. Care times considerably improved.
Conclusions: Training programs are a useful tool in improving treatment of acute coronary
syndromes in primary care. Advance diagnosis and an early start to treatment almost certainly
results in a decrease of its morbidity-mortality. |
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Subject(s):
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-Atención primaria
-Cardiopatia isquémica
-Evaluación de programas |
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Rights:
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(c) Elsevier, 2011
info:eu-repo/semantics/restrictedAccess |
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Document type:
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article
publishedVersion |
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Published by:
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Elsevier
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