Desfechos hospitalares de pacientes com infarto agudo do miocárdio com supradesnivelamento do segmento ST usuários dos sistemas público e privado em Sergipe

Abstract

Background: Acute Myocardial Infarction has high morbidity and mortality and may be responsible for outcomes that compromise life. However, little is known about hospital outcomes in patients with Acute Myocardial Infarction with ST-segment elevation (STEMI) when compared for health coverage. Objective: To compare hospital outcomes of patients with STEMI, users of public and private systems in Sergipe. Methods: This is a cross-sectional study with a quantitative approach, which used data from the study VICTIM (Via Crucis for the Treatment of Myocardial Infarction). Data were collected in only four hospitals with ability to perform angioplasty in Sergipe, one with three and public coverage with private coverage between December 2014 and April 2016. The statistical analysis was performed using χ2 test Pearson and T Student, SPSS software in addition to Windows. Results: A total of 460 patients was evaluated and 378 of the public and 82 private network. The non-cardiovascular mortality was 3.2% in the public and 1.2% in private system (p 0.333) and cardiovascular mortality was 7.1% and 3.7% (p 0.247), public and private, respectively. The incidence of cardiogenic shock was 3.4% in the public sector and 8.5% in the private (p 0.040). Conclusions: Although no significant differences in the incidence of hospital outcomes between the two services, this study reveals important data about the prognosis of patients with STEMI in the state, contributing to realization of public and hospital measures to promote improvements in the outcomes of these patients.