Coordinated regional care of myocardial infarction in a rural area in Brazil: Minas Telecardio Project 2

European Heart Journal. Quality of Care & Clinical Outcomes
Bárbara Campos Abreu MarinoMilena Soriano Marcolino

Abstract

In Brazil, there are considerable disparities in access to healthcare. The aim of this study was to assess how implementation of a coordinated regional management protocol for patients with ST-elevation myocardial infarction (STEMI) affected quality of care and outcomes in a rural and deprived Brazilian region with considerable social inequalities. The quality of care and outcomes of STEMI was evaluated in two cohorts before (n = 214) and after (n = 143) implementation of the coordinated regional management protocol. Central to this protocol was a tablet-based digital electrocardiogram (ECG) recording in the emergency ambulance that was transmitted for analysis by trained professionals. If the pre-hospital ECG was diagnostic, it triggered a management cascade involving a direct transfer to the regional intervention centre with reperfusion by primary percutaneous coronary intervention (PPCI) or pre-hospital fibrinolysis for anticipated journey times of less than or greater than 2 h, respectively. Following implementation of the protocol, the adjusted medical delay (system delay - transport time) decreased by 40% (95% confidence intervals: -66%, -13%). The proportion of patients who received reperfusion therapy increased from 70....Continue Reading

References

Jan 5, 2007·The New England Journal of Medicine·Ellen C Keeley, L David Hillis
Oct 20, 2009·Arquivos brasileiros de cardiologia·Antonio Luiz Pinho Ribeiro
Oct 20, 2009·Arquivos brasileiros de cardiologia·Graça Maria Tavares de Melo FerreiraArmênio Costa Guimarães
Jun 22, 2010·Arquivos brasileiros de cardiologia·Antonio Luiz P RibeiroElmiro Santos Resende
Jul 17, 2010·Journal of the American College of Cardiology·Matthew T RoeJohn S Rumsfeld
Aug 19, 2010·JAMA : the Journal of the American Medical Association·Christian Juhl TerkelsenJens Flensted Lassen
May 13, 2011·Lancet·Jairnilson PaimJames Macinko
May 17, 2012·Bulletin of the World Health Organization·Maria Beatriz AlkmimAntonio Luiz Pinho Ribeiro
Aug 28, 2012·European Heart Journal·UNKNOWN Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC)Doron Zahger
Aug 28, 2012·Circulation·Kristian ThygesenShanti Mendis
Aug 29, 2012·The American Journal of Medicine·Dharam J KumbhaniUNKNOWN Get With the Guidelines Steering Committee and Investigators
Dec 13, 2012·Circulation. Cardiovascular Quality and Outcomes·Davi Jorge Fontoura SollaPollianna de Souza Roriz
Mar 12, 2013·The New England Journal of Medicine·Paul W ArmstrongUNKNOWN STREAM Investigative Team
Sep 6, 2013·The New England Journal of Medicine·Daniel S MeneesHitinder S Gurm
Sep 27, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Zuzana KaifoszovaLeslie Marisol Lugo Gavidia
Dec 6, 2014·The Canadian Journal of Cardiology·Kevin R BaineyUNKNOWN Vital Heart Response Registry Investigators
Feb 3, 2015·American Heart Journal·Martin PuteraBimal R Shah
Feb 19, 2015·Heart·Anthony H GershlickRobert G Wilcox
Jan 27, 2016·Circulation·Antonio Luiz P RibeiroSandhi M Barreto
Jun 30, 2016·Arquivos brasileiros de cardiologia·Bárbara Campos Abreu MarinoAntonio Luiz Pinho Ribeiro

❮ Previous
Next ❯

Citations

Mar 11, 2018·Heart·Lucas Lodi-Junqueira, Antonio Luiz Ribeiro
Oct 1, 2018·Heart·Bruno R NascimentoAntonio Luiz P Ribeiro
Dec 14, 2019·Heart·Milena S Marcolino, Antonio L Ribeiro
Jun 16, 2017·Indian Journal of Psychological Medicine·Subrata NaskarKamal Nath
Sep 24, 2020·Arquivos brasileiros de cardiologia·Leonardo Alves, Carisi Anne Polanczyk
Nov 26, 2020·PloS One·Angélica Baptista SilvaRosângela Caetano
Oct 10, 2020·Journal of Psychiatric Research·Erito Marques de Souza FilhoJorge Amaral

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
Veloso GomesIlídio de Jesus
© 2022 Meta ULC. All rights reserved