Cardiology & Vascular Research

  • ISSN: 2577-655X

Improving the care of patients with acute myocardial infarction in Latin America through the creation of centers of excellence

Abstract

Hernan Antonio Ramirez Yanez, Cindy Alexandra Gonzalez Sanchez, Andres Felipe Buitrago Sandoval, Juan Francisco Figueroa Tr

Cardiovascular disease is a public health problem and the leading cause of death worldwide; its associated risk factors are widely identified and described. To standardize care processes and clinical outcomes for patients with Acute Myocardial Infarction, the Fundación Santa Fe de Bogotá (FSFB) established the first Clinical Care Center in Colombia. A systematic search of the literature was performed to establish rigorous standards of medical assistance, translating compliance into 15 quality indicators. Subsequently, a comparison with the processes in the FSFB was developed. A significant decrease in the rate of in-hospital complications was evidenced in more than 50% of the patients after the creation of the Center. Also, the requirement for thrombolysis and the number of patients with percutaneous coronary intervention were reduced. A readmission and mortality rate of less than 2 and 5%, respectively, were observed. These results were comparable with those of international reference centers. Implementing a Clinical Care Center makes it possible to guarantee homogeneous care, optimize care processes, and improve clinical outcomes in patients with Acute Myocardial Infarction.

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