SciELO - Scientific Electronic Library Online

 
vol.32 issue1Mortality and hospital stay adjusted for severity as indicators of effectiveness and efficiency of attention to Intensive Care Unit patients author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Medicina Intensiva

Print version ISSN 0210-5691

Abstract

PIQUE-GILART, M. et al. The effectiveness of training schemes in the treatment of acute coronary syndrome at health centers. Med. Intensiva [online]. 2008, vol.32, n.1, pp.3-7. ISSN 0210-5691.

Objective. A preliminary evaluation of the impact of a training program on pre-hospitalization care of acute coronary syndrome (ACS). Design. A cross-sectional study. Setting. Lleida Health Service area. Patients. A total of 661 ACS cases were observed in the Intensive Medical Care Unit from January 1st 2002 to December 31th 2004. Interventions. A training program for primary health care medical staff on the pre-hospitalization management of ACS from July 2003 to December 2006 in 29 health care centers was conducted. Main endpoints of interest. The evolution of 5 pre-hospitalization interventions, (acetylsalicylic acid, nitroglycerine, electrocardiogram, intravenous tube and intravenous morphine) throughout the study period was measured. Results. It was noted during the study that those centers in which training programs were held had a clear increase in the use of the 5 pre-hospitalization interventions. Insertion of an intravenous line, administration of intravenous morphine and administration of acetylsalicylic acid were all observed to have multiplied their use 10, 8 and 3 times, respectively. Conclusions. A training scheme for general practitioners (GP) is essential to ensure appropriate care of patients with this condition.

Keywords : Primary Health Care; ischemic heart disease; evaluation programs.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License