Guides of clinical practice in the management of acute myocardial infarction. Two different periods.

• Main Authors: Brandy Viera Valdés, Francisco Valladares Carvajal, Marcos D. Iraola Ferrer, Luis Gustavo Del Sol, Pablo. A. Rodríguez
• Format: Article
• Language: Spanish
• Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2006-08-01
• Series: Medisur
• Subjects: pautas prácticas; manejo de la enfermedad; infarto del miocardio
• Online Access: http://www.medisur.sld.cu/index.php/medisur/article/view/194

<strong>Background:</strong> The elaboration of clinical practice guides has each day a greater significance in the medical attention, but we should not forget its efficacy assessment once they have been established. <strong>Objectives:</strong> To evaluate the application and impact of the clinical practice guides in the final result of the acute myocardial infarction inn-patients, comparing two different periods of its application (1997 and 2001). <strong>Methods:</strong> A prospective study of a series of cases in its respective years was done. A total of 315 patients were involved, 154 in 1997; and 161 in 2001. The following variables were analyzed: risk factors, symptoms, complementary tests result, medical attention related aspects, as well as the patient evaluation until dismissal. <strong>Results:</strong> When comparatively analyzed the two series, a significant mortality reduction in the year 2001 was observed: it lowered from 35, 0 % in 1997 to 17, 4 % in the second patients group. In 2001 the risk of dying from an infarction was two times less than in 1997 (relative risk: 2, 02 (1, 35 – 3, 01). <strong>Conclusions:</strong> Mortality reduction for myocardial infarction in this hospital could be related, in a high percentage, with the adequate use of the clinical practice guides, used nowadays in the management of such affection.<strong><br /></strong>