Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016004300323 |
Resumo: | Abstract Background: To the best of our knowledge, there are no studies evaluating the influence of the unit of the first contact on the frequency and time of pharmacological treatment during an acute coronary syndrome (ACS) event. Objectives: The main objective was to investigate if the unit of first contact influenced the frequency and time of aspirin treatment in the Strategy of Registry of Acute Coronary Syndrome (ERICO) study. Methods: We analyzed the pharmacological treatment time in 830 ERICO participants - 700 individuals for whom the hospital was the unit of first contact and 130 who initially sought primary care units. We built logistic regression models to study whether the unit of first contact was associated with a treatment time of less than three hours. Results: Individuals who went to primary care units received the first aspirin dose in those units in 75.6% of the cases. The remaining 24.4% received aspirin at the hospital. Despite this finding, individuals from primary care still had aspirin administered within three hours more frequently than those who went to the hospital (76.8% vs 52.6%; p<0.001 and 100% vs. 70.7%; p=0.001 for non ST-elevation ACS and ST-elevation myocardial infarction, respectively). In adjusted models, individuals coming from primary care were more likely to receive aspirin more quickly (odds ratio: 3.66; 95% confidence interval: 2.06-6.51). Conclusions: In our setting, individuals from primary care were more likely to receive aspirin earlier. Enhancing the ability of primary care units to provide early treatment and safe transportation may be beneficial in similar settings. |
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Arquivos Brasileiros de Cardiologia (Online) |
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Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO StudyAcute Coronary Syndrome / mortalityPrimary Health CareAspirin / administration & dosageAnticoagulants, Time-to-TreatmentCohort StudiesAbstract Background: To the best of our knowledge, there are no studies evaluating the influence of the unit of the first contact on the frequency and time of pharmacological treatment during an acute coronary syndrome (ACS) event. Objectives: The main objective was to investigate if the unit of first contact influenced the frequency and time of aspirin treatment in the Strategy of Registry of Acute Coronary Syndrome (ERICO) study. Methods: We analyzed the pharmacological treatment time in 830 ERICO participants - 700 individuals for whom the hospital was the unit of first contact and 130 who initially sought primary care units. We built logistic regression models to study whether the unit of first contact was associated with a treatment time of less than three hours. Results: Individuals who went to primary care units received the first aspirin dose in those units in 75.6% of the cases. The remaining 24.4% received aspirin at the hospital. Despite this finding, individuals from primary care still had aspirin administered within three hours more frequently than those who went to the hospital (76.8% vs 52.6%; p<0.001 and 100% vs. 70.7%; p=0.001 for non ST-elevation ACS and ST-elevation myocardial infarction, respectively). In adjusted models, individuals coming from primary care were more likely to receive aspirin more quickly (odds ratio: 3.66; 95% confidence interval: 2.06-6.51). Conclusions: In our setting, individuals from primary care were more likely to receive aspirin earlier. Enhancing the ability of primary care units to provide early treatment and safe transportation may be beneficial in similar settings.Sociedade Brasileira de Cardiologia - SBC2016-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016004300323Arquivos Brasileiros de Cardiologia v.107 n.4 2016reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20160138info:eu-repo/semantics/openAccessSantos,Rafael Caire de Oliveira dosGoulart,Alessandra CarvalhoKisukuri,Alan Loureiro XavierBrandão,Rodrigo MartinsSitnik,DeboraStaniak,Henrique LaneBittencourt,Marcio SommerLotufo,Paulo AndradeBensenor,Isabela MartinsSantos,Itamar de Souzaeng2016-11-09T00:00:00Zoai:scielo:S0066-782X2016004300323Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2016-11-09T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
title |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
spellingShingle |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study Santos,Rafael Caire de Oliveira dos Acute Coronary Syndrome / mortality Primary Health Care Aspirin / administration & dosage Anticoagulants, Time-to-Treatment Cohort Studies |
title_short |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
title_full |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
title_fullStr |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
title_full_unstemmed |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
title_sort |
Time-To-Treatment of Acute Coronary Syndrome and Unit of First Contact in the ERICO Study |
author |
Santos,Rafael Caire de Oliveira dos |
author_facet |
Santos,Rafael Caire de Oliveira dos Goulart,Alessandra Carvalho Kisukuri,Alan Loureiro Xavier Brandão,Rodrigo Martins Sitnik,Debora Staniak,Henrique Lane Bittencourt,Marcio Sommer Lotufo,Paulo Andrade Bensenor,Isabela Martins Santos,Itamar de Souza |
author_role |
author |
author2 |
Goulart,Alessandra Carvalho Kisukuri,Alan Loureiro Xavier Brandão,Rodrigo Martins Sitnik,Debora Staniak,Henrique Lane Bittencourt,Marcio Sommer Lotufo,Paulo Andrade Bensenor,Isabela Martins Santos,Itamar de Souza |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santos,Rafael Caire de Oliveira dos Goulart,Alessandra Carvalho Kisukuri,Alan Loureiro Xavier Brandão,Rodrigo Martins Sitnik,Debora Staniak,Henrique Lane Bittencourt,Marcio Sommer Lotufo,Paulo Andrade Bensenor,Isabela Martins Santos,Itamar de Souza |
dc.subject.por.fl_str_mv |
Acute Coronary Syndrome / mortality Primary Health Care Aspirin / administration & dosage Anticoagulants, Time-to-Treatment Cohort Studies |
topic |
Acute Coronary Syndrome / mortality Primary Health Care Aspirin / administration & dosage Anticoagulants, Time-to-Treatment Cohort Studies |
description |
Abstract Background: To the best of our knowledge, there are no studies evaluating the influence of the unit of the first contact on the frequency and time of pharmacological treatment during an acute coronary syndrome (ACS) event. Objectives: The main objective was to investigate if the unit of first contact influenced the frequency and time of aspirin treatment in the Strategy of Registry of Acute Coronary Syndrome (ERICO) study. Methods: We analyzed the pharmacological treatment time in 830 ERICO participants - 700 individuals for whom the hospital was the unit of first contact and 130 who initially sought primary care units. We built logistic regression models to study whether the unit of first contact was associated with a treatment time of less than three hours. Results: Individuals who went to primary care units received the first aspirin dose in those units in 75.6% of the cases. The remaining 24.4% received aspirin at the hospital. Despite this finding, individuals from primary care still had aspirin administered within three hours more frequently than those who went to the hospital (76.8% vs 52.6%; p<0.001 and 100% vs. 70.7%; p=0.001 for non ST-elevation ACS and ST-elevation myocardial infarction, respectively). In adjusted models, individuals coming from primary care were more likely to receive aspirin more quickly (odds ratio: 3.66; 95% confidence interval: 2.06-6.51). Conclusions: In our setting, individuals from primary care were more likely to receive aspirin earlier. Enhancing the ability of primary care units to provide early treatment and safe transportation may be beneficial in similar settings. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016004300323 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016004300323 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/abc.20160138 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.107 n.4 2016 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
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1752126566316376064 |