Baños-González MA, Henne-Otero OL, Torres-Hernández ME, Torres-López JE, González-Aguilar CL, Sangeado-Santos M, Gómez-Garibay JA, Hernández-Aguirre A

Idioma: Español
Referencias bibliográficas: 23
Paginas: 495-502
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RESUMEN

Introducción y objetivo: El objetivo del estudio fue determinar los factores que intervienen en el retraso en la atención médica de pacientes con diagnóstico de IMCEST. Métodos: Se realizó un estudio observacional prospectivo en pacientes que ingresaron a la unidad coronaria con diagnóstico de IMCEST. En todos los pacientes se identificaron datos clínicos, periodo de arribo del paciente, tiempos de retraso y factores asociados a estos. Resultados: Del 15 de noviembre de 2012 al 30 de enero de 2015 se incluyeron 213 pacientes con IMCEST. La edad, diabetes, presencia de angina de pecho atípica y acudir a hospital en turno nocturno o en fin de semana fueron más frecuentes en pacientes que acudieron después de 12 horas del inicio de los síntomas de infarto. De estos, el ingreso en turno nocturno o en fin de semana fue el único predictor independiente para acudir tardíamente al servicio de urgencias. Conclusiones: El presente estudio muestra que en un hospital de referencia del sureste mexicano, el retraso atribuible al paciente fue el factor más frecuente relacionado con la atención médica en pacientes con IMCEST

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