Your browser doesn't support javascript.
loading
Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil.
de Carvalho Costa, Ingrid Maria Novais Barros; Silva, Danielle Góes da; Oliveira, Joselina Luzia Meneses; Silva, José Rodrigo Santos; Pereira, Larissa Monteiro Costa; Alves, Luciana Vieira Sousa; de Andrade, Fabrício Anjos; Góes Jorge, Juliana de; Oliveira, Larissa Marina Santana Mendonça de; Almeida, Rebeca Rocha de; Oliveira, Victor Batista; Martins, Larissa Santos; Costa, Jamille Oliveira; de Souza, Márcia Ferreira Cândido; Voci, Silvia Maria; Almeida-Santos, Marcos Antonio; Abreu, Victoria Vieira; Aidar, Felipe J; Baumworcel, Leonardo; Sousa, Antônio Carlos Sobral.
Afiliación
  • de Carvalho Costa IMNB; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Silva DGD; Federal Institute of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Oliveira JLM; Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Silva JRS; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Pereira LMC; Department of Medicine, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Alves LVS; São Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil.
  • de Andrade FA; Division of Cardiology, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
  • Góes Jorge J; Department of Statistics and Actuarial Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Oliveira LMSM; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Almeida RR; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Oliveira VB; Primavera Hospital, Aracaju, Sergipe, Brazil.
  • Martins LS; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Costa JO; Department of Physiotherapy, Tiradentes University, Aracaju, Sergipe, Brazil.
  • de Souza MFC; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Voci SM; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Almeida-Santos MA; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Abreu VV; Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Aidar FJ; Program of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
  • Baumworcel L; Division of nutrition, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
  • Sousa ACS; Program of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Prev Med Rep ; 29: 101973, 2022 Oct.
Article en En | MEDLINE | ID: mdl-36161134
Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Implementation_research País/Región como asunto: America do sul / Brasil Idioma: En Revista: Prev Med Rep Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Implementation_research País/Región como asunto: America do sul / Brasil Idioma: En Revista: Prev Med Rep Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos