Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service

Detalhes bibliográficos
Autor(a) principal: Maciel, Ana Lúcia Athayde
Data de Publicação: 2018
Outros Autores: Irigoyen, Maria Cláudia, Goldmeier, Silvia
Tipo de documento: Artigo
Idioma: por
Título da fonte: RECIIS (Online)
Texto Completo: https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/1436
Resumo: The study presented now had as objective to analyze the population attended by tele-electrocardiography in a public service that is a reference for mobile emergency medical service in the city of Porto Alegre, RS, Brazil. It is a retrospective cross-sectional study. We analyzed all electrocardiograms performed by Samu Porto Alegre, from September 2013 to August 2014, and their medical reports produced remotely by the Hospital do Coração (HCor), SP, Brazil. The study was based on the STROBE (Strengthening Reporting Observational Studies Epidemiology) guidelines. From tele-electrocardiograms, 115 (8.6%) patients were diagnosed having a ST-segment elevation. This electrocardiographic alteration was more prevalent in men (p = 0.012) who were 60 years old or over (p = 0.014). Among the symptoms expressed by patients, 314 (54.3%) men and 726 (56.3%) women felt typical retrosternal chest pain. Syncope was reported by 94 (16.3%) men and 107 (14.2%) women. Dyspnea was a symptom reported by 47 (8.1) men and 84 (11.1) women. The results of the study revealed that electrocardiographic alterations suggesting ACS (Acute Coronary Syndrome) are more prevalent in elderly men. Although women request more frequently the mobile emergency medical service, the ST-segment elevation was more prevalent in men. The chest pain was the most symptom mentioned, a result in agreement with the current literature. The knowledge of our reality can help the organization of service protocols.
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spelling Analysis of the population attended through a tele-electrocardiography in mobile emergency medical serviceAnálisis de la población asistida por medio de tele-electrocardiograma en el servicio de urgencia móvilAnálise das alterações eletrocardiográficas em pacientes atendidos por serviço móvel de urgênciaTelemedicineElectrocardiographyAmbulancesAcute coronary syndromeChest pain.TelemedicinaElectrocardiografiaAmbulanciasSíndrome coronario agudoDolor en el pecho.TelemedicinaEletrocardiografiaAmbulânciasSíndrome coronariana agudaDor no peito.The study presented now had as objective to analyze the population attended by tele-electrocardiography in a public service that is a reference for mobile emergency medical service in the city of Porto Alegre, RS, Brazil. It is a retrospective cross-sectional study. We analyzed all electrocardiograms performed by Samu Porto Alegre, from September 2013 to August 2014, and their medical reports produced remotely by the Hospital do Coração (HCor), SP, Brazil. The study was based on the STROBE (Strengthening Reporting Observational Studies Epidemiology) guidelines. From tele-electrocardiograms, 115 (8.6%) patients were diagnosed having a ST-segment elevation. This electrocardiographic alteration was more prevalent in men (p = 0.012) who were 60 years old or over (p = 0.014). Among the symptoms expressed by patients, 314 (54.3%) men and 726 (56.3%) women felt typical retrosternal chest pain. Syncope was reported by 94 (16.3%) men and 107 (14.2%) women. Dyspnea was a symptom reported by 47 (8.1) men and 84 (11.1) women. The results of the study revealed that electrocardiographic alterations suggesting ACS (Acute Coronary Syndrome) are more prevalent in elderly men. Although women request more frequently the mobile emergency medical service, the ST-segment elevation was more prevalent in men. The chest pain was the most symptom mentioned, a result in agreement with the current literature. The knowledge of our reality can help the organization of service protocols.El estudio presentado aquí ha tenido el objetivo de analizar la población atendida a través de tele-electrocardiografía, en servicio público que es referencia en atención pre-hospitalaria móvil de emergencia, en el municipio de Porto Alegre, RS, Brasil. Consiste en un estudio transversal retrospectivo. Fueron analizados electrocardiogramas realizados entre los meses de septiembre/2013 y agosto/2014 por el Samu/ POA, con laudos emitidos a distancia por el Hospital del Corazón (HCor), SP, Brasil. El estudio es basado en las directrices del STROBE (Strengthening the Reporting of Observational Studies in Epidemiology). En 115 (8,6%) de estos tele-electrocardiogramas, los pacientes fueron diagnosticados con supra desnivel del segmento ST. Esta alteración electrocardiográfica fue más predominante en el género masculino (p = 0,012), con edad superior a 60 años (p = 0,014%). Dolor en el pecho típíco retroesternal fue mencionado por 314 hombres (54,3%) y 726 mujeres (56,3%). Síncope fue relatado por 94 hombres (16,3%) y 107 mujeres (14,2%). La disnea fue un síntoma mencionado por 47 hombres (8,1%) y 84 mujeres (11,1%). Los resultados del estudio revelaron que alteraciones sugestivas de SCA (Síndrome coronario agudo) son más predominantes en los hombres con edad superior a 60 años; las mujeres suelen recurrir a el servicio de atención con más frecuencia, entretanto, el suspradesnivel del segmento ST ha prevalecido en el género masculino. El dolor en el pecho fue el síntoma más mencionado, hecho que coincide con la literatura actual. El conocimiento de nuestra realidad puede auxiliarnos a elaborar protocolos de servicio.O estudo aqui apresentado teve como objetivo analisar a população atendida por meio de teleeletrocardiografia realizada por serviço público que pode ser referência para outros em matéria de atendimento pré-hospitalar móvel de urgência no município de Porto Alegre. Trata-se de estudo transversal retrospectivo. Foram analisados 1.338 eletrocardiogramas realizados de setembro 2013 a agosto 2014 pelo Samu/POA, com laudo a distância feito no Hospital do Coração (HCor) em São Paulo. Utilizou-se a metodologia embasada nas diretrizes STROBE (Strengthening the Reporting of Observational Studies in Epidemiology). Em 115 (8,6%) desses tele-eletrocardiogramas, os pacientes foram diagnosticados com supradesnivelamento do segmento ST. Esta alteração eletrocardiográfica prevaleceu no gênero masculino (p = 0,012) com idade acima de 60 anos (p = 0,014). Dor torácica típica retroesternal foi mencionada por 314 homens (54,3%) e 726 mulheres (56,3%). Síncope foi relatada por 94 homens (16,3%) e 107 mulheres (14,2%). A dispneia foi um sintoma apontado por 47 homens (8,1%) e 84 mulheres (11,1%). Os resultados do estudo revelaram que alterações eletrocardiográficas sugestivas de SCA (Síndrome coronariana aguda) predominam em homens idosos; embora as mulheres solicitem o serviço de atendimento com mais frequência, o supradesnivelamento do segmento ST mostrou-se preponderante no gênero masculino. A dor torácica ter sido mencionada como o sintoma mais referido está em concordância com a literatura atual. =O conhecimento de nossa realidade pode auxiliar a elaboração de protocolos de serviço.Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz)2018-09-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/143610.29397/reciis.v12i3.1436Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; Vol. 12 No. 3 (2018)Revista Eletrônica de Comunicação, Informação e Inovação em Saúde; Vol. 12 Núm. 3 (2018)Revue de la Communication, de l'Information et de l'Innovation en santé; Vol. 12 No 3 (2018)Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; v. 12 n. 3 (2018)1981-6278reponame:RECIIS (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/1436/2223Maciel, Ana Lúcia AthaydeIrigoyen, Maria CláudiaGoldmeier, Silviainfo:eu-repo/semantics/openAccess2018-09-28T18:10:16Zoai:www.reciis.icict.fiocruz.br:article/1436Revistahttps://www.reciis.icict.fiocruz.br/index.php/reciishttps://www.reciis.icict.fiocruz.br/index.php/reciis/oaireciis@icict.fiocruz.br1981-62781981-6278opendoar:2018-09-28T18:10:16RECIIS (Online) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
Análisis de la población asistida por medio de tele-electrocardiograma en el servicio de urgencia móvil
Análise das alterações eletrocardiográficas em pacientes atendidos por serviço móvel de urgência
title Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
spellingShingle Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
Maciel, Ana Lúcia Athayde
Telemedicine
Electrocardiography
Ambulances
Acute coronary syndrome
Chest pain.
Telemedicina
Electrocardiografia
Ambulancias
Síndrome coronario agudo
Dolor en el pecho.
Telemedicina
Eletrocardiografia
Ambulâncias
Síndrome coronariana aguda
Dor no peito.
title_short Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
title_full Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
title_fullStr Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
title_full_unstemmed Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
title_sort Analysis of the population attended through a tele-electrocardiography in mobile emergency medical service
author Maciel, Ana Lúcia Athayde
author_facet Maciel, Ana Lúcia Athayde
Irigoyen, Maria Cláudia
Goldmeier, Silvia
author_role author
author2 Irigoyen, Maria Cláudia
Goldmeier, Silvia
author2_role author
author
dc.contributor.author.fl_str_mv Maciel, Ana Lúcia Athayde
Irigoyen, Maria Cláudia
Goldmeier, Silvia
dc.subject.por.fl_str_mv Telemedicine
Electrocardiography
Ambulances
Acute coronary syndrome
Chest pain.
Telemedicina
Electrocardiografia
Ambulancias
Síndrome coronario agudo
Dolor en el pecho.
Telemedicina
Eletrocardiografia
Ambulâncias
Síndrome coronariana aguda
Dor no peito.
topic Telemedicine
Electrocardiography
Ambulances
Acute coronary syndrome
Chest pain.
Telemedicina
Electrocardiografia
Ambulancias
Síndrome coronario agudo
Dolor en el pecho.
Telemedicina
Eletrocardiografia
Ambulâncias
Síndrome coronariana aguda
Dor no peito.
description The study presented now had as objective to analyze the population attended by tele-electrocardiography in a public service that is a reference for mobile emergency medical service in the city of Porto Alegre, RS, Brazil. It is a retrospective cross-sectional study. We analyzed all electrocardiograms performed by Samu Porto Alegre, from September 2013 to August 2014, and their medical reports produced remotely by the Hospital do Coração (HCor), SP, Brazil. The study was based on the STROBE (Strengthening Reporting Observational Studies Epidemiology) guidelines. From tele-electrocardiograms, 115 (8.6%) patients were diagnosed having a ST-segment elevation. This electrocardiographic alteration was more prevalent in men (p = 0.012) who were 60 years old or over (p = 0.014). Among the symptoms expressed by patients, 314 (54.3%) men and 726 (56.3%) women felt typical retrosternal chest pain. Syncope was reported by 94 (16.3%) men and 107 (14.2%) women. Dyspnea was a symptom reported by 47 (8.1) men and 84 (11.1) women. The results of the study revealed that electrocardiographic alterations suggesting ACS (Acute Coronary Syndrome) are more prevalent in elderly men. Although women request more frequently the mobile emergency medical service, the ST-segment elevation was more prevalent in men. The chest pain was the most symptom mentioned, a result in agreement with the current literature. The knowledge of our reality can help the organization of service protocols.
publishDate 2018
dc.date.none.fl_str_mv 2018-09-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/1436
10.29397/reciis.v12i3.1436
url https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/1436
identifier_str_mv 10.29397/reciis.v12i3.1436
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/1436/2223
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz)
publisher.none.fl_str_mv Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz)
dc.source.none.fl_str_mv Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; Vol. 12 No. 3 (2018)
Revista Eletrônica de Comunicação, Informação e Inovação em Saúde; Vol. 12 Núm. 3 (2018)
Revue de la Communication, de l'Information et de l'Innovation en santé; Vol. 12 No 3 (2018)
Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; v. 12 n. 3 (2018)
1981-6278
reponame:RECIIS (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str RECIIS (Online)
collection RECIIS (Online)
repository.name.fl_str_mv RECIIS (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv reciis@icict.fiocruz.br
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