SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Hygeia (Uberlândia) |
Texto Completo: | https://seer.ufu.br/index.php/hygeia/article/view/69914 |
Resumo: | Objective: To analyze the impact of geographic location of coronary reperfusion (CR) services on acute myocardial infarction (AMI) mortality in Parana State, Brazil. Methods: This is a cross-sectional, ecologic study based on AMI mortality, between 2015 and 2019, among individuals aged 30–79 years. An spatial access index to CR services within 60 minutes of ground transportation was calculated using the enhanced two-step floating catchment area technique. AMI mortality rates were compared between municipalities with and without CR services coverage and between municipalities with low and high spatial access to CR services, both using the Wilcoxon test. Results: It was observed that 8.02% (32/399) of municipalities had access to two methods of reperfusion therapy, 24.56% (98/399) had access only to primary percutaneous coronary intervention, and 12.03% (48/399) had access only to chemical reperfusion. Municipalities with access to CR services had lower mortality rate (median = 74.67) than municipalities not covered by this service (median = 102.83) (p < 0.001). There was a significant difference between municipalities with low (median = 68.30) and high spatial access to CR services (median = 80.02) (p = 0.007). Conclusion: Increased spatial access to CR services is crucial for the survival of patients with AMI. |
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SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZILDISTRIBUIÇÃO ESPACIAL DOS SERVIÇOS DE REPERFUSÃO CORONARIANA E SEU IMPACTO NA MORTALIDADE POR INFARTO AGUDO DO MIOCÁRDIO NO ESTADO DO PARANÁ, BRASILInfarto agudo do miocárdioReperfusão coronarianaIntervenção coronariana percutâneaTerapia trombolíticaAnálise espacialAcute myocardial infarctionCoronary reperfusionPercutaneous coronary interventionThrombolytic therapySpatial analysisObjective: To analyze the impact of geographic location of coronary reperfusion (CR) services on acute myocardial infarction (AMI) mortality in Parana State, Brazil. Methods: This is a cross-sectional, ecologic study based on AMI mortality, between 2015 and 2019, among individuals aged 30–79 years. An spatial access index to CR services within 60 minutes of ground transportation was calculated using the enhanced two-step floating catchment area technique. AMI mortality rates were compared between municipalities with and without CR services coverage and between municipalities with low and high spatial access to CR services, both using the Wilcoxon test. Results: It was observed that 8.02% (32/399) of municipalities had access to two methods of reperfusion therapy, 24.56% (98/399) had access only to primary percutaneous coronary intervention, and 12.03% (48/399) had access only to chemical reperfusion. Municipalities with access to CR services had lower mortality rate (median = 74.67) than municipalities not covered by this service (median = 102.83) (p < 0.001). There was a significant difference between municipalities with low (median = 68.30) and high spatial access to CR services (median = 80.02) (p = 0.007). Conclusion: Increased spatial access to CR services is crucial for the survival of patients with AMI.Objetivo: Analisar o impacto da localização geográfica dos serviços de reperfusão coronariana (RC) na mortalidade por infarto agudo do miocárdio (IAM) no estado do Paraná, Brasil. Métodos: É um estudo ecológico transversal baseado na mortalidade por IAM, entre 2015 e 2019, em indivíduos de 30 a 79 anos. O índice de acesso espacial ao serviços de RC em até 60 minutos de transporte terrestre foi calculado usando a técnica aprimorada da área de captura flutuante de dois passos. As taxas de mortalidade por IAM foram comparadas entre municípios com e sem cobertura de serviços de RC e entre baixo e alto acesso espacial a estes serviços, ambos utilizando o teste de Wilcoxon. Resultados: Observou-se que 8,02% (32/399) dos municípios tinham acesso a ambos os tipos de reperfusão, 24,56% (98/399) acesso apenas à intervenção coronariana percutânea primária, e 12,03% (48/399) acesso apenas à reperfusão química. Municípios com acesso aos serviços de RC apresentaram menor taxa de mortalidade (mediana=74,67) comparado com aqueles sem cobertura deste serviço (mediana=102,83) (p<0,001). Houve diferença significativa entre municípios com baixo (mediana=68,30) e alto acesso espacial aos serviços de RC (mediana=80,02) (p=0,007). Conclusão: O aumento do acesso espacial aos serviços de RC é crucial para a sobrevivência dos pacientes infartados.Universidade Federal de Uberlândia2024-04-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://seer.ufu.br/index.php/hygeia/article/view/6991410.14393/Hygeia2069914Hygeia - Revista Brasileira de Geografia Médica e da Saúde; v. 20 (2024); e20371980-1726reponame:Hygeia (Uberlândia)instname:Universidade Federal de Uberlândia (UFU)instacron:UFUenghttps://seer.ufu.br/index.php/hygeia/article/view/69914/38573Copyright (c) 2024 Carlos Eduardo Arruda, Miyoko Massago, Daniel Augusto Message dos Santos, Isadora Martins Borba, Giane Aparecida Chaves Forato, Luiz Gustavo de Paulo, Pedro Henrique Iora, João Marcelo Baptista, Matheus Henrique Arruda Beltrame, Juraci Leandro Júnior, Oscar Kenji Nihei, João Ricardo Nickenig Vissoci, Amanda de Carvalho Dutra, Luciano de Andradeinfo:eu-repo/semantics/openAccessArruda, Carlos Eduardo Massago, Miyoko Santos, Daniel Augusto Message dosBorba, Isadora Martins Forato, Giane Aparecida Chavesde Paulo, Luiz Gustavo Iora, Pedro HenriqueBaptista, João MarceloBeltrame, Matheus Henrique ArrudaLeandro Júnior, JuraciNihei, Oscar Kenji Vissoci, João Ricardo Nickenig Dutra, Amanda de CarvalhoAndrade, Luciano de2024-05-14T21:00:03Zoai:ojs.www.seer.ufu.br:article/69914Revistahttps://seer.ufu.br/index.php/hygeiaPUBhttps://seer.ufu.br/index.php/hygeia/oaisamuel@ufu.br||flavia.santos@ufu.br1980-17261980-1726opendoar:2024-05-14T21:00:03Hygeia (Uberlândia) - Universidade Federal de Uberlândia (UFU)false |
dc.title.none.fl_str_mv |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL DISTRIBUIÇÃO ESPACIAL DOS SERVIÇOS DE REPERFUSÃO CORONARIANA E SEU IMPACTO NA MORTALIDADE POR INFARTO AGUDO DO MIOCÁRDIO NO ESTADO DO PARANÁ, BRASIL |
title |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL |
spellingShingle |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL Arruda, Carlos Eduardo Infarto agudo do miocárdio Reperfusão coronariana Intervenção coronariana percutânea Terapia trombolítica Análise espacial Acute myocardial infarction Coronary reperfusion Percutaneous coronary intervention Thrombolytic therapy Spatial analysis |
title_short |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL |
title_full |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL |
title_fullStr |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL |
title_full_unstemmed |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL |
title_sort |
SPATIAL DISTRIBUTION OF CORONARY REPERFUSION SERVICES AND ITS IMPACT ON ACUTE MYOCARDIAL INFARCTION MORTALITY IN PARANA STATE, BRAZIL |
author |
Arruda, Carlos Eduardo |
author_facet |
Arruda, Carlos Eduardo Massago, Miyoko Santos, Daniel Augusto Message dos Borba, Isadora Martins Forato, Giane Aparecida Chaves de Paulo, Luiz Gustavo Iora, Pedro Henrique Baptista, João Marcelo Beltrame, Matheus Henrique Arruda Leandro Júnior, Juraci Nihei, Oscar Kenji Vissoci, João Ricardo Nickenig Dutra, Amanda de Carvalho Andrade, Luciano de |
author_role |
author |
author2 |
Massago, Miyoko Santos, Daniel Augusto Message dos Borba, Isadora Martins Forato, Giane Aparecida Chaves de Paulo, Luiz Gustavo Iora, Pedro Henrique Baptista, João Marcelo Beltrame, Matheus Henrique Arruda Leandro Júnior, Juraci Nihei, Oscar Kenji Vissoci, João Ricardo Nickenig Dutra, Amanda de Carvalho Andrade, Luciano de |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Arruda, Carlos Eduardo Massago, Miyoko Santos, Daniel Augusto Message dos Borba, Isadora Martins Forato, Giane Aparecida Chaves de Paulo, Luiz Gustavo Iora, Pedro Henrique Baptista, João Marcelo Beltrame, Matheus Henrique Arruda Leandro Júnior, Juraci Nihei, Oscar Kenji Vissoci, João Ricardo Nickenig Dutra, Amanda de Carvalho Andrade, Luciano de |
dc.subject.por.fl_str_mv |
Infarto agudo do miocárdio Reperfusão coronariana Intervenção coronariana percutânea Terapia trombolítica Análise espacial Acute myocardial infarction Coronary reperfusion Percutaneous coronary intervention Thrombolytic therapy Spatial analysis |
topic |
Infarto agudo do miocárdio Reperfusão coronariana Intervenção coronariana percutânea Terapia trombolítica Análise espacial Acute myocardial infarction Coronary reperfusion Percutaneous coronary intervention Thrombolytic therapy Spatial analysis |
description |
Objective: To analyze the impact of geographic location of coronary reperfusion (CR) services on acute myocardial infarction (AMI) mortality in Parana State, Brazil. Methods: This is a cross-sectional, ecologic study based on AMI mortality, between 2015 and 2019, among individuals aged 30–79 years. An spatial access index to CR services within 60 minutes of ground transportation was calculated using the enhanced two-step floating catchment area technique. AMI mortality rates were compared between municipalities with and without CR services coverage and between municipalities with low and high spatial access to CR services, both using the Wilcoxon test. Results: It was observed that 8.02% (32/399) of municipalities had access to two methods of reperfusion therapy, 24.56% (98/399) had access only to primary percutaneous coronary intervention, and 12.03% (48/399) had access only to chemical reperfusion. Municipalities with access to CR services had lower mortality rate (median = 74.67) than municipalities not covered by this service (median = 102.83) (p < 0.001). There was a significant difference between municipalities with low (median = 68.30) and high spatial access to CR services (median = 80.02) (p = 0.007). Conclusion: Increased spatial access to CR services is crucial for the survival of patients with AMI. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufu.br/index.php/hygeia/article/view/69914 10.14393/Hygeia2069914 |
url |
https://seer.ufu.br/index.php/hygeia/article/view/69914 |
identifier_str_mv |
10.14393/Hygeia2069914 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://seer.ufu.br/index.php/hygeia/article/view/69914/38573 |
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 |
Universidade Federal de Uberlândia |
publisher.none.fl_str_mv |
Universidade Federal de Uberlândia |
dc.source.none.fl_str_mv |
Hygeia - Revista Brasileira de Geografia Médica e da Saúde; v. 20 (2024); e2037 1980-1726 reponame:Hygeia (Uberlândia) instname:Universidade Federal de Uberlândia (UFU) instacron:UFU |
instname_str |
Universidade Federal de Uberlândia (UFU) |
instacron_str |
UFU |
institution |
UFU |
reponame_str |
Hygeia (Uberlândia) |
collection |
Hygeia (Uberlândia) |
repository.name.fl_str_mv |
Hygeia (Uberlândia) - Universidade Federal de Uberlândia (UFU) |
repository.mail.fl_str_mv |
samuel@ufu.br||flavia.santos@ufu.br |
_version_ |
1799944281621790720 |