Análise temporal e geográfica para os pacientes com IAMCSST atendidos pelos serviços público e privado em Sergipe: Registro VICTIM

Abstract

The delay of patients with STEMI in access to reperfusion therapies compromise their benefits, and it results in poorer outcomes and lower survival. Thus, this study aims to compare the temporal and geographical course of patients diagnosed with STEMI attended by public and private services in Sergipe, from the symptom onset to their arrival at the hospital with the ability to perform angioplasty. This is a cross-sectional study with a quantitative approach, which used registry data VICTIM (Via Crucis for Myocardial Infarction Treatment), from December 2014 to April 2016. The study included 460 patients diagnosed with STEMI, of which 378 were from public and 82 from private service. The actual time spent and distance traveled by public patients - from the symptom onset to arrival at the hospital with angioplasty – were higher to equivalent time and distances of patients in the private service. While public service patients traveled around 61.39 km (± 56.2), with average time of 27h (± 38.8), patients in the private service traveled 28.64 km (±48.58), mean time of 11h (± 26.5) (p < 0.001). Due to most of public service patients runs, at least, one institution before arrival at the hospital with angioplasty, there is less opportunity to standard treatment for STEMI, unlike the private service patients, most of which has direct access to the institution with angioplasty.