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dc.contributor.authorPiqué, Manuel
dc.contributor.authorTorres Puig-gros, Joan
dc.contributor.authorBalsera, Begoña
dc.contributor.authorHernandez Martin, Maria Isabel
dc.contributor.authorMiñano, Antonio
dc.contributor.authorWorner, Fernando
dc.date.accessioned2016-05-27T09:20:35Z
dc.date.issued2011
dc.identifier.issn0212-6567
dc.identifier.urihttp://hdl.handle.net/10459.1/57110
dc.description.abstractObjective: To evaluate a training programme in the primary care of acute coronary syndrome. Design: A before-during-after comparative cross-sectional study. Setting: Health areas of Lleida, High Pyrenees and Aran (Spain), from 2003—2006. Participants: Patients with acute coronary syndrome admitted to the intensive medicine unit and the coronary unit of the Arnau de Vilanova University Hospital of Lleida after being referred from home, general practitioner or health centre. Intervention: A training program was introduced to establish protocols of pre-hospital performance in acute coronary syndrome (the administration of acetylsalicylic acid, nitroglycerin and morphine chloride, the performing of an electrocardiogram, the insertion of an intravenous tube and to speed up care times). Main measures: Linear trend of the three periods of the study was analyzed through prevalences ratio and linear trend test. Results: The intervention showed a statistically significant linear increase in the application of the aforementioned therapeutic procedures, with the exception of nitroglycerin, which started out with a higher baseline level, and an improvement of care times. The application of an electrocardiogram obtained almost optimal levels. Care times considerably improved. Conclusions: Training programs are a useful tool in improving treatment of acute coronary syndromes in primary care. Advance diagnosis and an early start to treatment almost certainly results in a decrease of its morbidity-mortality.ca_ES
dc.language.isospaca_ES
dc.publisherElsevierca_ES
dc.relation.isformatofReproducció del document publicat a https://doi.org/10.1016/j.aprim.2010.01.020ca_ES
dc.relation.ispartofAtención Primaria. 2011, vol. 43, núm. 1ca_ES
dc.rights(c) Elsevier, 2011ca_ES
dc.subjectAtención primariaca_ES
dc.subjectCardiopatia isquémicaca_ES
dc.subjectEvaluación de programasca_ES
dc.title¿Podemos mejorar el tratamiento de los síndromes coronarios agudos en la atención primaria?ca_ES
dc.typearticleca_ES
dc.identifier.idgrec016177
dc.type.versionpublishedVersionca_ES
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccessca_ES
dc.identifier.doihttps://doi.org/10.1016/j.aprim.2010.01.020
dc.date.embargoEndDate2025-01-01


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