BACKGROUND: The creation of an acute myocardial infarction (AMI) system of care aims to optimize the management of patients from early diagnosis to proper and timely treatment. OBJECTIVE: To assess the establishment of an AMI System of Care in the city of Belo Horizonte, state of Minas Gerais, and its impact on AMI in-hospital mortality. METHODS: The AMI system of care was established in the city of Belo Horizonte between 2010 and 2011, aiming at increasing the access of patients of the public health system to the treatment recommended by the existing guidelines. The teams at the emergency care units were trained, and the tele-electrocardiography system was implanted in those units. The primary outcomes of this retrospective observational study were the number of admissions and AMI in-hospital mortality, from 2009 to 2011. RESULTS: During the study period, 294 professionals were trained and 563 electrocardiograms (ECGs) transmitted from emergency care units to coronary care units. A significant reduction was observed in the in-hospital mortality rate (12.3% in 2009 versus 7.1% in 2011, p < 0.001), while the number of admissions due to AMI remained stable. The mean cost of admission increased (mean R$ 2,480.00 versus R$ 3,501.00; p < 0.001), the proportion of admissions including intensive care unit stay increased (32.4% in 2009 versus 66.1% in 2011; p < 0.001), and the number of patients admitted to tertiary hospitals increased (47.0% versus 69.6%; p < 0.001). CONCLUSION: The establishment of the AMI system of care improved the access of the population to proper treatment, thus reducing AMI in-hospital mortality. [corrected].
BACKGROUND: The creation of an acute myocardial infarction (AMI) system of care aims to optimize the management of patients from early diagnosis to proper and timely treatment. OBJECTIVE: To assess the establishment of an AMI System of Care in the city of Belo Horizonte, state of Minas Gerais, and its impact on AMI in-hospital mortality. METHODS: The AMI system of care was established in the city of Belo Horizonte between 2010 and 2011, aiming at increasing the access of patients of the public health system to the treatment recommended by the existing guidelines. The teams at the emergency care units were trained, and the tele-electrocardiography system was implanted in those units. The primary outcomes of this retrospective observational study were the number of admissions and AMI in-hospital mortality, from 2009 to 2011. RESULTS: During the study period, 294 professionals were trained and 563 electrocardiograms (ECGs) transmitted from emergency care units to coronary care units. A significant reduction was observed in the in-hospital mortality rate (12.3% in 2009 versus 7.1% in 2011, p < 0.001), while the number of admissions due to AMI remained stable. The mean cost of admission increased (mean R$ 2,480.00 versus R$ 3,501.00; p < 0.001), the proportion of admissions including intensive care unit stay increased (32.4% in 2009 versus 66.1% in 2011; p < 0.001), and the number of patients admitted to tertiary hospitals increased (47.0% versus 69.6%; p < 0.001). CONCLUSION: The establishment of the AMI system of care improved the access of the population to proper treatment, thus reducing AMI in-hospital mortality. [corrected].
Authors: Gláucia Maria Moraes de Oliveira; Luisa Campos Caldeira Brant; Carisi Anne Polanczyk; Deborah Carvalho Malta; Andreia Biolo; Bruno Ramos Nascimento; Maria de Fatima Marinho de Souza; Andrea Rocha De Lorenzo; Antonio Aurélio de Paiva Fagundes Júnior; Beatriz D Schaan; Fábio Morato de Castilho; Fernando Henpin Yue Cesena; Gabriel Porto Soares; Gesner Francisco Xavier Junior; Jose Augusto Soares Barreto Filho; Luiz Guilherme Passaglia; Marcelo Martins Pinto Filho; M Julia Machline-Carrion; Marcio Sommer Bittencourt; Octavio M Pontes Neto; Paolo Blanco Villela; Renato Azeredo Teixeira; Roney Orismar Sampaio; Thomaz A Gaziano; Pablo Perel; Gregory A Roth; Antonio Luiz Pinho Ribeiro Journal: Arq Bras Cardiol Date: 2022-01 Impact factor: 2.000
Authors: Itamar Souza Santos; Alessandra Carvalho Goulart; Rodrigo Martins Brandão; Rafael Caire de Oliveira Santos; Márcio Sommer Bittencourt; Débora Sitnik; Alexandre Costa Pereira; Carlos Alberto Pastore; Nelson Samesima; Paulo Andrade Lotufo; Isabela Martins Bensenor Journal: Arq Bras Cardiol Date: 2015-05-08 Impact factor: 2.000
Authors: Ricardo Wang; Fernando Carvalho Neuenschwander; Augusto Lima Filho; Celsa Maria Moreira; Elizabete Silva dos Santos; Helder Jose Lima Reis; Edson Renato Romano; Luiz Alberto Piva e Mattos; Otávio Berwanger; Jadelson Pinheiro de Andrade Journal: Arq Bras Cardiol Date: 2014-02-17 Impact factor: 2.000
Authors: Milena Soriano Marcolino; João Antonio de Queiroz Oliveira; Grace Kelly Matos E Silva; Thatiane Dantas Dias; Barbara Campos Abreu Marino; André Pires Antunes; Antonio Luiz Ribeiro; Clareci Silva Cardoso Journal: Arq Bras Cardiol Date: 2018-08 Impact factor: 2.000