Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba: review of 17 reports with 7823 patients
Rev Fac Cien Med Univ Nac Cordoba
; 80(4): 538-558, 2023 12 26.
Article
em En
| MEDLINE
| ID: mdl-38150200
ABSTRACT
BACKGROUND:
In Cuba, there is neither a registry of ST Elevation Myocardial Infarction (STEMI), nor are analysis of performance measures widely reported.OBJECTIVE:
A review of Cuban studies of patients with STEMI was carried out to describe quality of medical care.METHODS:
Cochrane Library, EMBASE, PubMed, Scopus and SciELO, as well as archives of national journals, were all searched for articles on STEMI in Cuba, from 2000 to March 2020. They were included if they reported number or percentage of application of reperfusion therapy; administration of aspirin, enalapril-captopril (ACEI) or beta-blockers; status of patients at discharge; and patient or system delay times. Finally, 17 reports with 7823 patients were included.RESULTS:
Thrombolytic therapy was administered to 3991 patients (51%), and 695 patients (8.9%) died. Only four studies, with 880 patients, presented data about prescription of ACEI, aspirin, and beta-blockers, which were administered to 381 (45.3%), 824 (93.6%), 464 (52.7%) patients, respectively. Coronary intervention was reported in 5 studies with 3422 patients, being performed in 661 (19.3%).Conclusions:
Quality of care of patients with STEMI seems to be poorer than reported in similar scenarios. Thrombolytic administration is still low, although mortality decreases in this period. Other pharmacological treatments were insufficiently fulfilled.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infarto do Miocárdio com Supradesnível do Segmento ST
/
COVID-19
Limite:
Humans
País/Região como assunto:
Caribe
/
Cuba
Idioma:
En
Revista:
Rev Fac Cien Med Univ Nac Cordoba
Ano de publicação:
2023
Tipo de documento:
Article
País de publicação:
Argentina