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• W1979458584 abstract "Analizar la efectividad, fiabilidad y seguridad de la trombólisis prehospitalaria en el infarto agudo de miocardio en el Distrito Sanitario “Costa del Sol” de Málaga. Estudio de intervención en el que se compara un periodo (fase I) en el cual aún no se realizaba trombólisis prehospitalaria, con otro posterior (fase II) en el que sí se hacía. La efectividad del proceso se midió por el porcentaje de trombólisis realizadas dentro de las dos primeras horas de evolución del infarto agudo de miocardio, la fiabilidad por el número de pacientes tratados fuera del hospital con trombólisis no indicadas, y la seguridad por el número de complicaciones relacionadas con la misma ocurridas en los tratamientos extrahospitalarios. Se realize un ajuste mediante regresión logística en el que se tuvieron en cuenta las posibles variables de confusion relacionadas con el porcentaje de tratamientos realizados dentro de las dos primeras horas. El porcentaje de tratamientos realizados dentro de las dos primeras horas de infarto agudo de miocardio en la fase II (49%) es significativamente mayor (p 0,001) que en la fase I (8%). El modelo de regresión logística multiple demostró que los pacientes que recibieron el tratamiento trombolítico extrahospitalario en la fase II tuvieron 130 veces más posibilidades de recibir dicho tratamiento dentro de las dos primeras horas del infarto agudo de miocardio que los pacientes tratados con trombolíticos en la fase I en el hospital. No se realizó ningún tratamiento prehospitalario no indicado, y no se objetivó ninguna complicación relacionada con la trombólisis prehospitalaria. La trombólisis prehospitalaria en nuestro Distrito Sanitario demuestra ser una intervención efectiva, fiable y segura. To analyze the effectiveness, reliability and safety of prehospital thrombolysis in acute myocardial infarction within the “Costa del Sol” health district of Malaga. An intervention study which compared a period (phase I) during which prehospital thrombolisis was not performed, and a later period (phase II) during which it was. Process effectiveness was measured by percentage of thrombolyses performed during the first two hours of acute myocardial infarction evolution, reliability by the number of patients receiving contraindicated thrombolysis outpatient treatment, and safety by the number of thrombolysis-related complications occurring during outpatient treatment. Logistic regression was used to make an adjustment for taking into account possible confounding variables associated with percentage of treatments performed during the first two hours. Treatment percentage during the first two hours of acute myocardial infarction in phase II (49%) is significantly higher (p 0.001) than in phase I (8%). The multiple logistic regression model demonstrated that patients who received outpatient thrombolytic treatment in phase II had a 130 times greater chance of receiving it during the first two hours of acute myocardial infarction than patients treated with thrombolytic drugs during phase I in hospital. No contraindicated prehospital treatment was performed, and there were observed no prehospital thrombolysis-related complications. Prehospital thrombolysis in our health district is demonstrated to be an effective, reliable and safe intervention." @default.
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• W1979458584 date "2004-01-01" @default.
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• W1979458584 title "Resultados de la implantación del Plan de Actuación Conjunta en el Infarto Agudo de Miocardio" @default.
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• W1979458584 doi "https://doi.org/10.1016/s0210-5691(04)70068-6" @default.
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