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Gaceta Médica Espirituana

On-line version ISSN 1608-8921

Abstract

VALERO HERNANDEZ, Amarilys; SANTOS PEREZ, Alexander  and  RODRIGUEZ LABRADA, Yamilka Virgen. Lethality due to acute myocardial infarction at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus. Gac Méd Espirit [online]. 2018, vol.20, n.3, pp.34-44. ISSN 1608-8921.

Background:

Hospital mortality has been one of the most used care quality indicators and constitutes a valuable tool for hospital planning and management.

Objective:

To determine the factors derived from medical care related to mortality due to acute myocardial infarction at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus from November 2014 to June 2016.

Methodology:

An observational, descriptive and retrospective study was carried out with a sample of 76 patients. Demographic, clinical, echocardiographic, laboratory and derivative data from the treatment used were collected. A 90% of fulfillment was prefixed to consider those indicators of qualitative care quality, as satisfactorily fulfilled.

Results:

The mortality due to acute myocardial infarction behaved in 16.8%, with a predominance of males (60.52%) and from the age group between 60 and 79 years (68.4%). Cardiogenic shock was the main cause of death in more than half of the deceased and a low index of applied fibrinolysis therapy was observed; the time of prolonged ischemia and non-diagnosis was recognized as prevailed causes. The use of double platelet antiaggregation, unfractionated heparins and statins were the therapies that attained the proposed quality indicator.

Conclusions:

There was high hospital mortality due to acute myocardial infarction, with low fulfillment of quality indicators related to reperfusion therapies and the use of echocardiography in the acute phase.

Keywords : Acute myocardial infarction; myocardial infarction; quality indicators health care; mortality; hospital lethality.

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