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dc.contributor.advisorEcheverri Arcila, Darío 
dc.creatorBlanquicett Anaya, Marco Luis 
dc.date.accessioned2012-08-03T17:17:58Z
dc.date.available2012-08-03T17:17:58Z
dc.date.created2012-06-06
dc.date.issued2012
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/3650
dc.descriptionTitulo: Adherencia a criterios de pertinencia de revascularización coronaria del colegio americano de cardiología 2009, en el servicio de hemodinámica de la fundación cardioinfantil Bogotá 2011. Introducción: La enfermedad cardiovascular es la principal causa de morbimortalidad a nivel mundial, teniendo mayor prevalencia enfermedad coronaria. Existen guías especificas para el manejo de esta enfermedad sin embargo su aplicación se entorpece por factores diversos. Este estudio quiere evaluar la adherencia, en el laboratorio de hemodinamia de la Fundación Cardioinfantil, a las guías de pertinencia de intervencionismo coronario de la ACCF (American college of cardiology foundation). Objetivo General: Evaluar el nivel de adherencia a criterios de pertinencia de revascularización coronaria del colegio americano de cardiología 2009, en el servicio de hemodinámia de la fundación cardioinfantil Bogotá 2011. Métodos: Se revisaron 200 historias clínicas pacientes con diagnóstico de síndrome coronario agudo, llevados a intervención coronaria, según características de pacientes , intervención, y nivel de adherencia se clasifico la intervención como apropiada, incierta e inadecuada . Resultados: De la población analizada, el 71% (n=142) de las intervenciones fueron clasificados como apropiadas, 20% (N=40) como inapropiadas y 8,5% (n=17) como inciertas. Los desenlaces y complicaciones no tuvieron asociación estadísticamente significativa (p> 0,005) con la adherencia a los criterios de pertinencia. Conclusiones: Respecto a la literatura existente el número de intervenciones inapropiadas es mayor en la FCI, comparado con estudios practicados en América Latina y Norte América, sin embargo una adherencia del 80 %, ubica a esta institución en un adecuado nivel de adherencia.
dc.description.abstractTitle: ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization adherence in Cardioinfantil foundation hemodynamics service, Bogota 2011. Introduction: cardiovascular disease is the first morbimortality cause in the world, being the coronary disease the more prevalent. there are specific guidelines for the management of this condition however its implementation is hampered by several factors. this study seeks to assess adherence in the cath lab cardioinfantil foundation, to the appropriateness criteria for coronary revascularization guidelines accf (american college of cardiology foundation). General Objective: To assess the appropriateness criteria adherence level for coronary revascularization American College of Cardiology 2009, in Cardioinfantil foundation hemodynamics service Bogotá 2011 Methods: We reviewed 200 medical records of patients with acute coronary syndrome, percutaneaus coronary intervention carried, according to patient characteristics, intervention, and level of adherence intervention was classified as appropriate, uncertain and inadequate. Results: From our study population 71% (n = 142) of interventions were classified as appropriate, 20% (N = 40) as unacceptable and 9% (n = 18) as uncertain. Complications were not statistically significant (p> 0.005) with the appropriateness criteria adherence. Conclusions: According to the existing literature the number of inappropriate interventions is higher in the FCI, however a 80% adherence, places this institution at a level appropriate despite the constraints in implementing the guidelines.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourcereponame:Repositorio Institucional EdocUR
dc.sourceinstname:Universidad del Rosario
dc.subjectAdherencia, pertinencia, enfermedad coronaria, criterio apropiado y revascularización coronaria percutánea.
dc.subject.lembRevascularización del miocardio
dc.subject.lembEnfermedad coronaria::Cirugía
dc.subject.lembCorazón::Cirugía
dc.subject.lembCardiología
dc.titleAdherencia a criterios de pertinencia de revascularización coronaria del colegio americano de cardiología, servicio de hemodinamia Fundación Cardioinfantil- Bogotá 2011
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Cardiología
dc.publisher.programEspecialización en Cardiología
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordAdherence, appropriateness heart disease, appropriate criteria and percutaneous coronary revascularization
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.source.bibliographicCitation1. Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA; American College of Cardiology Foundation Appropriateness Criteria Task Force; Society for Cardiovascular Angiography and Interventions; Society of Thoracic Surgeons; American Association for Thoracic Surgery; American Heart Association, and the American Society of Nuclear Car diology Endorsed by the American Society of Echocardiography; Heart Failure Society of America; Society of Cardiovascular Computed Tomography. ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization: a report by the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology Endorsed by the American Society of Echocardiography, the Heart Failure Society of America, and the Society of Cardiovascular Computed Tomography. J Am Coll Cardiol 2009; 53:530-53. 2. Véronique L. Roger, Alan S. Go, Donald M. Lloyd-Jones, Robert J. Adams, Jarett D. Heart Disease and Stroke Statistics--2011 Update: A Report From the American Heart Association. Circulation. 2011; 123:e18-e209.3.Beltrán JR, Beltrán R, Caicedo V, García M, García E, Isaza D, Jaramillo M. guías colombianas de cardiología síndrome coronario agudo sin elevación del ST. Rev Col Cardiol. 2008; 15 (Supl 3): 145-150. 4.Gómez J. Implementación de guías clínicas. Rev Esp Cardiol. 2006;59(Supl 3).5.Steinbrook R, Guidance for Guidelines. N Engl J Med. 2007- 356;4. 6.Field MJ, Lohr KN, eds. Clinical practice guidelines: directions for a new program.Washington, DC: National cademy Press, 1990.7.Deyo RA, Psaty BM, Simon G, Wagner EH, Omenn GS. The messenger under attack — intimidation of researchers by special-interest groups. N Engl J Med 1997;336:1176-80.8.Hasenfeld R, Shekelle PG. Is the methodological quality of guidelines declining in the US? Comparison of the quality of US Agency for Health Care Policy and Research (AHCPR) guidelines with those published subsequently. Qual Saf Health Care 2003;12: 428-34. Taylor R, Giles J. Cash interests taint drug advice. Nature 2005;437:1070-1.9.Wilensky GR. Developing a center for comparative effectiveness information. HealthAff (Millwood) 2006;25:w572-w585.10.Lenfant C. Clinical research to clinical practice. Lost in translation? N Engl J Med. 2003;349:868-74. 11.Thygesen K, Alpert JS, White HD, Jaffe AS, Apple FS, Galvani M, et al; for the Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction.Universal Definition of Myocardial Infarction. Circulation 2007; 116: 2634-53.12.Chan PS, Patel MR, Klein Ll, Krone RJ, Dehmer GJ, Appropriateness of Percutaneous Coronary Intervention. JAMA. 2011; 306(1):53-61.13. Sattur S, Kondareddy S, Garg M. Appropriateness of multi-vessel percutaneous coronary intervention in myocardial infarction: a tertiary rural healthcare center perspective. JACC, Volume 59, Issue 13, Supplement, 27 March 2012, Page E1820. 14. Chan P. Patel M, Klein Ll, Kron RJ. Appropriateness of percutaneous coronary intervention in the united states: insights from the ncdr cath/pci registry. JACC, volume 57, issue 14, supplement, 5 april 2011, page e1151. 15.Albertal M, Cándelo A, Cura FA, Trivi M. Of Inappropriate Coronary Revascularization Procedures According to the New Classification in a Cardiovascular Tertiary Referral Center. Rev Argent Cardiol 2010; 78:507-511.16.Lenfant C. Clinical research to clinical practice. Lost in translation? N Engl J Med. 2003;349:868-74. 17.Field MJ, Lohr MJ, editores. Clinical Practice Guidelines: Directions for a new program. Washington: National Academy Press;1990. p. 36-42.18. Audlet AM, Greenfield S, Field M. Medical practice guidelines: current activities and future directions. Ann Intern Med. 1990;30:709-14.19.Fox KA, Goodman SG, Klein W, Brieger D, Steg PG, Dabbous O, et al. Management of acute coronary syndromes. ariations in practice and outcome. Findings from the Global Registry of Acute Coronary Events (GRACE). Eur Heart J. 2002; 23:1177-89.20.The EuroHeart Failure Survey programme–a survey on the quality of care among patients with heart failure in Europe Part 2: treatment. European Heart J. 2003:24:464-74.21.Stafford RS, Radley DC. The Underutilization of cardiac medications of proven benefit, 1990 to 2002. J Am Coll Cardiol.2003; 41:56-61.22.Klein LW. How appropriate for assessing quality are the 2009 Appropriateness Criteria for Coronary Revascularization? J Invasive Cardiol. 2009;21 (11):558-562.23.Rothberg MB, Sivalingam SK, Ashraf J, et al. Patients’ and cardiologists’ perceptions of the benefits of percutaneous coronary intervention for stable coronary disease. Ann Intern Med. 2010;153(5):307- 313.24.Hannan EL, Samadashvili Z, Walford G, et al. Predictors and outcomes of ad hoc versus non–ad hoc percutaneous coronary interventions. JACC Cardiovasc Interv. 2009;2(4):350-356.25.Nallamothu BK, Krumholz HM. Putting ad hoc PCI on pause. JAMA. 2010;304(18):2059-2060.
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.


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