Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2013 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFBA |
| Texto Completo: | http://repositorio.ufba.br/ri/handle/ri/17653 |
Resumo: | Texto completo: acesso restrito. p. 9-17 |
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Solla, Davi Jorge FontouraPaiva Filho, Ivan de MattosDelisle, Jacques EdouardBraga, Alecianne AzevedoMoura, João Batista deMoraes Jr, Xavier deFilgueiras, Nivaldo MenezesCarvalho, Marcela EmbiruçuMartins, Mariana StequeManganotti Neto, OrlandoRoberto Filho, PauloRoriz, Pollianna de Souza2015-05-11T14:44:54Z20131941-7713http://repositorio.ufba.br/ri/handle/ri/17653v. 6Texto completo: acesso restrito. p. 9-17Background—Regionalized integrated networks for ST-segment–elevation myocardial infarction (STEMI) care have been proposed as a step forward in overcoming real-world obstacles, but data are lacking on its performance in developing countries. We describe an integrated regional STEMI network in Salvador, Bahia, Brazil. Methods and Results—The network was created in 2009. It was coordinated by the prehospital emergency medical service and encompassed the public emergency system (prehospital mobile units, community-based emergency units, general hospitals, and cardiology reference centers). The 12-lead ECGs are interpreted via telemedicine. This network operates as follows: The Telemedicine Center sends each ECG suggestive of STEMI to a Regional STEMI Alert Team, which, together with emergency medical services, offers support for thrombolysis or immediate transfer for primary percutaneous coronary intervention. In 14 months, there were 433 suspected victims, of which in 287 (76.5%) the STEMI could be confirmed (age, 62.1±12.5 years; 63.4% men). Most of them were self-transported. The median pain-to-admission time was 180 minutes (interquartile range, 90–473 minutes), and the median admission-to-ECG time was 159.5 minutes (interquartile range, 83.5–340 minutes). The median interval time between the ECG and the telemedicine report was 31 minutes (interquartile range, 21–44 minutes). For those who sought medical attention and had an ECG performed within 12 hours after symptoms onset (n=119), the reperfusion rate was 75.6% (34.4% by thrombolysis and 65.6% by primary percutaneous coronary intervention). Conclusions—Regional STEMI networks may be feasible in developing countries. Preliminary results showed this network to be effective, achieving primary reperfusion rtes comparable with those reported internationally despite the obstacles faced.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2015-03-16T13:50:27Z No. of bitstreams: 1 Davi Jorge Fontoura Solla.pdf: 1390889 bytes, checksum: 4666b2215d76edb8ff4ba40b3c466e19 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2015-05-11T14:44:54Z (GMT) No. of bitstreams: 1 Davi Jorge Fontoura Solla.pdf: 1390889 bytes, checksum: 4666b2215d76edb8ff4ba40b3c466e19 (MD5)Made available in DSpace on 2015-05-11T14:44:54Z (GMT). No. of bitstreams: 1 Davi Jorge Fontoura Solla.pdf: 1390889 bytes, checksum: 4666b2215d76edb8ff4ba40b3c466e19 (MD5) Previous issue date: 2013http://dx.doi.org/10.1161/CIRCOUTCOMES.112.967505reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAcute myocardial infarctionRegional healthPlanningTelemedicineReperfusionPopulationIntegrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing CountriesCirc Cardiovasc Qual Outcomesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALDavi Jorge Fontoura Solla.pdfDavi Jorge Fontoura Solla.pdfapplication/pdf1390889https://repositorio.ufba.br/bitstream/ri/17653/1/Davi%20Jorge%20Fontoura%20Solla.pdf4666b2215d76edb8ff4ba40b3c466e19MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/17653/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTDavi Jorge Fontoura Solla.pdf.txtDavi Jorge Fontoura Solla.pdf.txtExtracted texttext/plain51776https://repositorio.ufba.br/bitstream/ri/17653/3/Davi%20Jorge%20Fontoura%20Solla.pdf.txte18368638b205da6b46b94cd78afbeb6MD53ri/176532022-07-01 10:46:54.265oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-01T13:46:54Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
| dc.title.pt_BR.fl_str_mv |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| dc.title.alternative.pt_BR.fl_str_mv |
Circ Cardiovasc Qual Outcomes |
| title |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| spellingShingle |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries Solla, Davi Jorge Fontoura Acute myocardial infarction Regional health Planning Telemedicine Reperfusion Population |
| title_short |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| title_full |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| title_fullStr |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| title_full_unstemmed |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| title_sort |
Integrated Regional Networks for ST-Segment–Elevation Myocardial Infarction Care in Developing Countries |
| author |
Solla, Davi Jorge Fontoura |
| author_facet |
Solla, Davi Jorge Fontoura Paiva Filho, Ivan de Mattos Delisle, Jacques Edouard Braga, Alecianne Azevedo Moura, João Batista de Moraes Jr, Xavier de Filgueiras, Nivaldo Menezes Carvalho, Marcela Embiruçu Martins, Mariana Steque Manganotti Neto, Orlando Roberto Filho, Paulo Roriz, Pollianna de Souza |
| author_role |
author |
| author2 |
Paiva Filho, Ivan de Mattos Delisle, Jacques Edouard Braga, Alecianne Azevedo Moura, João Batista de Moraes Jr, Xavier de Filgueiras, Nivaldo Menezes Carvalho, Marcela Embiruçu Martins, Mariana Steque Manganotti Neto, Orlando Roberto Filho, Paulo Roriz, Pollianna de Souza |
| author2_role |
author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Solla, Davi Jorge Fontoura Paiva Filho, Ivan de Mattos Delisle, Jacques Edouard Braga, Alecianne Azevedo Moura, João Batista de Moraes Jr, Xavier de Filgueiras, Nivaldo Menezes Carvalho, Marcela Embiruçu Martins, Mariana Steque Manganotti Neto, Orlando Roberto Filho, Paulo Roriz, Pollianna de Souza |
| dc.subject.por.fl_str_mv |
Acute myocardial infarction Regional health Planning Telemedicine Reperfusion Population |
| topic |
Acute myocardial infarction Regional health Planning Telemedicine Reperfusion Population |
| description |
Texto completo: acesso restrito. p. 9-17 |
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2013 |
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2013 |
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2015-05-11T14:44:54Z |
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1941-7713 |
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v. 6 |
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1941-7713 v. 6 |
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http://repositorio.ufba.br/ri/handle/ri/17653 |
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eng |
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info:eu-repo/semantics/openAccess |
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http://dx.doi.org/10.1161/CIRCOUTCOMES.112.967505 |
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