[Thrombolytic delay in myocardial infarction and primary care]. / Retraso trombolítico del infarto de miocardio y atención primaria.
Aten Primaria
; 26(5): 302-8, 2000 Sep 30.
Article
en Es
| MEDLINE
| ID: mdl-11100599
ABSTRACT
OBJECTIVES:
To analyse the effect of a primary care consultation at a health centre or at home and to determine the effect of the use of the pre-hospital electrocardiogram on thrombolytic delay.DESIGN:
Analytical cross-sectional study.SETTING:
La Safor county (136,000 inhabitants), Valencia, Spain. PATIENTS Sample of 137 patients from the area admitted for acute myocardial infarction. INTERVENTION None. MEASUREMENTS ANDRESULTS:
Multivariate analysis through Cox regression models of the thrombolytic delay, comparing the patients who attended a primary care centre (40, 29.2%) and those who called out a doctor to their home (26, 19.0%) with those who attended hospital (71, 51.8%). The thrombolysis proportions in the groups were analysed with logistic regression. Patients referred from primary care arrived at hospital later than those who attended directly, although a greater thrombolytic delay was only seen in those visited at home (RR 0.25, 95% CI 0.09-0.71). A primary care electrocardiogram (14 patients, 10.2%) reduced the thrombolytic delay (RR 8.81, 95% CI 1.20-64.91) by reducing intra-hospital delay. There were no differences between the groups for the thrombolysis proportion (67 patients, 48.9%).CONCLUSIONS:
Patients with infarction seen in primary care reach hospital later. Calling and waiting for the doctor at home increases the thrombolytic delay. An electrocardiogram on the infarction patients who attend a health centre reduces thrombolytic delay by reducing intra-hospital delay.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Terapia Trombolítica
/
Infarto del Miocardio
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
Límite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
Es
Revista:
Aten Primaria
Año:
2000
Tipo del documento:
Article