Factores que favorecen el reingreso en intensivos de pacientes con síndrome coronario agudo

  1. Francisco José Clemente López
  2. Juan José Rodríguez Mondéjar
  3. José Ángel Rodríguez Gómez
Journal:
Enfermería global: Revista electrónica trimestral de enfermería

ISSN: 1695-6141

Year of publication: 2018

Volume: 17

Issue: 4

Pages: 36-48

Type: Article

Export: RIS
DOI: 10.6018/10.6018.eglobal.vol.nº.ID DIALNET GOOGLE SCHOLAR lock_openOpen access editor

Abstract

Introduction: About 7% of patients admitted in Intensive Care Units (ICUs) due to acute coronary syndrome (ACS) in Spain, are readmitted again later. Objectives: Identify the possible causes and predisposing factors for returning to ICU because of ACS. Methodology: Retrospective, descriptive, comparative and longitudinal study of patients admitted for ACS in the ICU between January 2008 and December 2013.Demographic variables, number of admissions, admission risk factors (dyslipidemia, hypertension and diabetes) and non heart-healthy life habits (sedentary / obesity, smoking, alcoholism) of patients who come back were collected and were compared with control group (not readmitted patients). Pearson’s Chi 2 test and statistical significance were performed. Results: 2.506 patients were admitted by ACS. Readmissions were 140 (5,58%) after 12,93±16,41 months from their first admission. The ICU’s reentering patients stayed4.97± 3.3 days (4.03±1.8 control group) in their first admission. A table is attached with risk factors’ incidence and non heart–healthy life habits of both groups. Smoking and alcoholism habits are related with readmissions (χ²=5.67; p<0.01)Conclusions: The patients who are readmitted stay more days in ICU in their first admission, have less control about risk factors and less quitting index of nocive habits than control group. It seems to exist an adherence therapeutic problem in the sample studied.

Bibliographic References

  • Organización Mundial de la Salud [Internet]. Copenhague (Den): Cause-specific mortality and morbidity: Age standardized mortality rate by cause by country. C2008-[citado 2013 Mar 17]. Disponible en: http://apps.who.int/gho/data/node.main.18).
  • Díaz Guzmán J, Egido-Herrero JA, Fuentes B, Fernández-Pérez C, Gabriel-Sánchez R, Barberà G et al. Incidence of strokes in Spain: the Iberictus study. Data from the pilot study. Rev Neurol. 2009;48:61-5)
  • Royo Bordonada MA, et al. El estado de la prevención cardiovascular en España. Medicina Clínica, 2014, vol. 142, no 1, p. 7-14.
  • Proyecto RECALCAR. La atención al paciente con cardiopatía en el Sistema Nacional de Salud. Recursos, actividad y calidad asistencial, Sociedad Española de Cardiología, Noviembre 2012.
  • Andrés E, Cordero A, Purificación M, Alegría E, León M, Luengo E, et al. Mortalidad a largo plazo y reingreso hospitalario tras infarto agudo de miocardio: un estudio de seguimiento de ocho años. Rev. Esp. Cardiología. 2012; 65 (5): 414-420.
  • Ferreira González, I. Epidemiología de la enfermedad coronaria. Revista Española de Cardiología, 2014, vol. 67, no 2, p. 139-144.
  • Windecker S, et al. Revascularisation versus medical treatment in patients with stable coronary artery disease: network meta-analysis. Bmj, 2014, vol. 348, p. g3859.
  • Nekane Murga, A. Seguimiento del paciente en la fase crónica de la enfermedad coronaria. Rev Esp Cardiología. 2013; 13(Supl.B):35-41 - Vol. 13.
  • Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, BerryJD, Borden WB, et al.Heart disease and stroke statistics–2012 Update: A Report From the American Heart Association. Circulation. 2012; 125: e2 – e220. Publicación electrónica: 2011 Dic 15. http://circ.ahajournals.org/content/125/1/e2.
  • Galve E, et al. Novedades en cardiología: riesgo vascular y rehabilitación cardiaca. Revista Española de Cardiología, 2015, vol. 68, no 2, p. 136-143.
  • Aberg A, Bergstrand R, Johansson S, Ulvenstam G, Vedin A, Wedel H, et al. Cessation of smoking after myocardial infarction. Effects on mortality after 10 years. Br Heart J. 1983;49:416-22.
  • Charles J Bentz. An intensive smoking cessation intervention reduced hospital admissions and mortality in high risk smokers with CVD. Evid. Based Med. 2007; 12; 113.
  • Rees K, et al. Dietary advice for reducing cardiovascular risk. Cochrane Database Syst Rev, 2013, vol. 3.
  • Hooper L, Thompson RL, Harrison RA, Summerbell CD, Ness AR, Moore HJ, et al. Risks and benefits of omega 3 fats for mortality, cardiovascular disease, and cancer: systematic review. BMJ. 2006; 332:752-60.
  • Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2014; 116:682-92.
  • Galve E, et al. Temas de actualidad en cardiología: riesgo vascular y rehabilitación cardiaca. Revista Española de Cardiología, 2014, vol. 67, no 3, p. 203-210.
  • Rehabilitation of patient with cardiovascular disease WHO. Technical Reports Ginebra: OMS, 1964; n. º 270.
  • Manuel Barreiroa,, Elena Velascoa, Alfredo Renillaa, Francisco Torresa, María Martín, De la Hera JM. Grado de conocimiento sobre su enfermedad cardiaca entre los pacientes hospitalizados..Rev Esp Cardiología. 2013; 66:229-30. - Vol. 66 Núm.3.
  • Meseguer C, Galan I, Herruzo R, Zorrilla B, Rodriguez-Artalejo F. Actividad física de tiempo libre en un país mediterráneo del sur de Europa: Adherencia a las recomendaciones y factores asociados. Rev Esp Cardiol. 2009;