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On-line version ISSN 2221-2434
Abstract
VALLADARES CARVAJAL, Francisco de Jesús; RAVELO COMA, Yordano Carlos; AVILES, Lázaro de la Cruz and GONZALEZ, Mario Isaac. Following Clinical Practical Guidelines in Patients with Acute Myocardial Infarction with St Segment Elevation and its Relation with Clinical and Demographic Variables. Rev. Finlay [online]. 2020, vol.10, n.2, pp. 142-150. Epub June 30, 2020. ISSN 2221-2434.
Foundation
acute myocardial infarction with elevation of the ST segment demands a great challenge from health systems. It is vital to rely on clinical practical guidelines. In attaining its degree of adherence may influence clinical and demographic variables.
Objetive
to measure the degree of adhesion to Clinical Practical Guidelines in discharged patients with a diagnosis of acute myocardial infarction and ST segment elevation and related to demographic and clinical variables.
Method
descriptive study which evaluated the adhesion to clinical practice guidelines in 294 patients by using an instrument of evaluation. The degree of adhesion was related with demographic variables (age and sex) and clinical (selected co-morbidities and state of the patient on discharge).
Results
in 76,5 % of the patients the degree of adhesion was adequate. Adequate grading increased accordingly to age (71,3 %, 77,2 % y 82,0 % in patients younger than 60, de 60 a 74 y de 75 and more respectively) and was higher in women (84,1 %). Regarding co-morbidities, the highest percentage of adequate adhesion corresponded to hypertension (77,2 %) and the lowest (69,0 %) to chronic renal disease.
Conclusion
a high percentage of ¨graded adequate¨ in adhesion to clinical and practical guidelines was found in patients with acute myocardial infarction and ST segment elevation in the period of study, either in the total of patients so as in any age, sex, co-morbidities selected, discharged alive and deceased groups.
Keywords : st elevation myocardial infarction; practice guideline; treatment adherence and compliance.