Keywords
ST segment elevation
myocardial reperfusion
thrombolysis
adherence to guidelines
How to Cite
Abstract
Introduction: The ST Segment Elevation Myocardial Infarction (STEMI) is associated with high morbidity and mortality, identifying disease early, and adherence to management guidelines have impacted clinical outcomes in this entity.
Objectives: To evaluate adherence to guidelines in the management of STEMI al Hospital Universitario San Ignacio and to identify 7 performance indicators in the care of patients with STEMI.
Methods: An observational, descriptive, and cross-sectional study. The statistical program STATA 12.1 was used.
Results: We reviewed medical records of 106 patients with median age 61 years, which comorbidities was: Dyslipidemia, hypertension, smoking, Mortality during the hospitalization 14.29%. Of the 7 variables making measures EKG within 10 minutes (74.5%), making lipid profile within 24 hours of admission by almost (80 %), ASA Bolus dose (85%), clopidogrel bolus dose (78.3%), enoxaparin adjusted to weight and age (96 %), beta-blockers (87.7%), ACE inhibitors by almost (84%). Checklist for fibrinolytic therapy in 64 % of patients diagnosed with STEMI were recorded.
Conclusion: Adherence to guidelines in diseases with high morbidity and mortality impact as STEMI should be 100% to ensure better clinical outcomes. Quality indicators that we took to assess adherence to guidelines recommendations were followed in a suitable remarkable level, and excellent (for the use of enoxaparin).
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