Perfil dos pacientes com IAMCSST e sua relação com o acesso aos hospitais com capacidade de realizar ICP – registro victim

Abstract

Background: Brazil is marked by socioeconomic and cultural disparities, so it is fundamental to know the impact of these disparities in the access of patients with IAMCSST to reperfusion therapies. Objective: Compare socieconomic and demographic characteristics of patients who are transferred to another hospital and the ones that have direct access to the hospital that provides PCI. Methods: This study used data obtained from Registro VICTIM (VIa Crucis para o Tratamento do Infarto do Miocárdio) to analyze 1081 STEMI patients attended from December 2014 to March 2018 at the four hospitals in Sergipe that provide PCI. The patients were separated into two groups: the ones who had direct access and the ones who were transferred. Results: Of all 1081 patients, 931 went throught some kind of inter-hospital transference and 150 had direct access. There is predominance of males of medium age 62,97 ± 12,56 (transferred patients) and 61,49 ± 12,02 (direct access patients). As of social class and education levels, there is predominance of class E (55,4%; p <0,001) and junior high education (53,1%; p <0,001) among transferred patients and class C (31,9%; p <0,001) and college education (33,3%; p <0,001) among direct access patients. As of distance, the group that traveled longest distances was the group of transferred patients (71,35 ± 74,34 km vs 15,82 ± 30,10 km, p <0,001). Conclusion: Low education levels, socieconomic status and distance were the main factors that influence the differences between both groups