O impacto do protocolo de dor torácica em unidade de pronto atendimento

• Autor(a) principal: Flávio, Daniela Aparecida
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da USC
• Texto Completo: https://tede2.usc.br:8443/handle/tede/447
• topic: Protocolos; Dor torácica; Atendimento de Emergência; Infarto do Miocárdio com Supradesnível do Segmento ST; Síndrome Coronariana Aguda; Protocols.; Chest Pain; Ambulatory Care; ST Elevation Myocardial Infarction; Acute Coronary Syndrome.; CIENCIAS DA SAUDE::ODONTOLOGIA

Cardiovascular diseases still remain the main cause of death in the world, with acute myocardial infarction being one of the cardiac pathologies that constitutes one of the major public health problems. Thus, in view of the heterogeneity of chest pain, which can progress to acute coronary syndrome and especially acute myocardial infarction with ST segment elevation, it is fundamental to formulate strategies that guarantee the identification and assistance of these patients as soon as possible in ready care, where the creation of algorithms for the evaluation of chest pain, becomes the tool that systematizes medical and nursing procedures, resulting in a powerful and efficient quality optimization tool, contributing to the reduction of morbidity and mortality. The objective of this study was to evaluate the effectiveness of the Chest Pain Protocol in a prompt care unit. A quantitative, longitudinal and retrospective study was developed with a descriptive approach, through the collection of data in clinical records (conventional and electronic) of the patients chosen for the protocol of Chest Pain in a prompt care unit. The results allowed to observe that the time door electrocardiogram in 2013 and 2014, before the implantation of the protocol, was median of 00h12min min. and 00h10min, and after implementation (2015 to 2018) 00h05min, 00h05min, 00h04min and 00h01min, respectively. Regarding the times recorded for door balloon, it was observed that in the years of 2013 and 2014, it was 02:19 and 02:17 and, after the implementation, years from 2015 to 2018, 01h27min, 01h30min, 01h28min and 01h14min, respectively. It was concluded that after the implementation of the Chest Pain Protocol there was a gradual and significant reduction of the times, as well as its compliance, according to the established guidelines for acute myocardial infarction with ST segment elevation.