Abstract

CABALLERO OLIVA, Eduardo; DEL VALLE LLAGOSTERA, Juan Guillermo  and  PASCUAL SIMON, José Ramón. Thrombolysis impact on patients with acute myocardial infarction in Primary Health Care. MEDISAN [online]. 2011, vol.15, n.6, pp.813-819. ISSN 1029-3019.

An assessment study was carried out in "Julio Antonio Mella" municipality from Santiago de Cuba province in order to determine thrombolysis impact starting from the therapy acceptability degree, as well as from the population satisfaction for receiving it and from health workers for providing it. Investigation was carried out from January, 2009 to January, 2010 and it included 26 patients over 15 years, who went to the health institution undergoing acute myocardial infarction and followed the established criterion of applying this therapeutic modality. Appropriate indicators and standards were created. Furthermore, Fisher's Exact and V Cramer's tests were applied for the statistics validation. Thrombolysis in primary health care resulted relevant among the main results because this procedure was well accepted by inhabitants of the area, but not by some of those who performed it. Anyway, this situation did not hinder that satisfaction level for both parts resulted high in general sense due to the average of useful therapies achieved, although reducing the previous hospital care in order to obtain a higher effectiveness of thrombolytic medication would be advisable.

Keywords : thrombolysis; acute myocardial infarction; health assessment; previous hospital care; primary health care.

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