SOCIAL STATUS OF MYOCARDIAL INFARCTION PATIENTS AND ITS INFLUENCE ON THE CHOICE OF METHODS OF TREATMENT AND WAYS OF HOSPITALIZATION
DOI:
https://doi.org/10.11603/1681-2786.2017.1.7926Keywords:
myocardial infarction, coronary artery stenting, thrombolytic therapy, social status, ways of hospitalization.Abstract
The aim of our study is to examine the influence of social status of myocardial infarction (MI) patients on the ways of hospitalization and treatment of this disease.
Materials and methods. The study uses data from medical records of in-patients. Methods used: copying of data, statistical and analytical methods.
Results. For the study, we selected three groups of patients diagnosed with myocardial infarction who had coronary artery stenting (CAS) (first group), thrombolytic therapy (TLT) (second group) and traditional treatment (third group). The analysis of ways of referral of patients for hospitalization showed that those first and second groups are often transported for hospital treatment by the first aid crew (FAC). The study of the social status of patients with myocardial infarction showed a significant predominance of pensioners (57.8%) over other categories.
Conclusions. 1. We have established that patients with myocardial infarction who underwent CAS often arrived in hospitals upon referral of FAC or other health care facilities. MI patients who underwent thrombolytic therapy also mostly arrived upon referral of FACs.
2. Persons of retirement age had significantly less CAS and TLT and they often arrived for in-patient treatment upon referral of doctor's at outpatient clinics.
References
Gruzieva, T.S., Galienko, L.I., Dufynets, V.A., Zamkevych, V.B., & Inshakova, H.V (2016). Medyko-sotsialʹni aspekty problemy neinfektsiynykh zakhvoryuvanʹ u dzerkali svitovoyi, yevropeysʹkoyi ta natsionalʹnoyi statystyky [Medical and social aspects of the problem of non-communicable diseases in the mirror of the world, European and national statistics]. Skhidnoyevropeysʹkyy zhurnal hromadsʹkoho zdorovʺya – East European Journal of Public Health, 1 (26), 15-22 [in Ukrainian].
Amosova, K.M., Sychenko, Yu.O., Rudenko, Yu.V., Tkachuk, L.S., Herula, O.M., Prudkyi, I.V., & Bezrodnyi A.B. (2012). Efektyvnistʹ metodiv reperfuziynoyi terapiyi u riznykh katehoriy khvorykh iz hostrym koronarnym syndromom z elevatsiyeyu sehmenta ST [Effectiveness of methods of reperfusion therapy in various categories of patients with acute coronary syndrome with ST segment elevation]. Sertse i sudyny – Heart and Vessels, 1 (37), 54-62 [in Ukrainian].
Kornatsky, V.M., & Moroz, D.M. (2015). Rannya diahnostyka tryvohy ta depresiyi yak faktoriv ryzyku sertsevo-sudynnoyi patolohiyi [Early diagnosis of anxiety and depression as a risk factors for cardiovascular disease]. Ukrayinsʹkyy medychnyy chasopys – Ukrainian Medical Journal, 3 (107), 80-81 [in Ukrainian].
Savchenko, A.P., Cherkavskaya, O.V., & Rudenko, B.A. (2010). Ynterventsyonnaya kardyolohyya. Koronarnaya anhyohrafyya y stentyrovanye. Rukovodstvo [Interventional cardiology. Coronary angiography and stenting. Handbook]. M.: HÉOTAR-Medya [in Ukrainian].
Solomenchuk, T.M., & Skybchyk, V.A. (2006). Sertsevo-sudynni chynnyky ryzyku u khvorykh na infarkt miokarda vikom do 50 rokiv: rolʹ profesiynoshkidlyvoyi pratsi [Cardiovascular risk factors in myocardial infarction patients under age 50: the role of professional health'damaging work]. Sertse i sudyny – Heart and Vessels, 2 (14), 83-87 [in Ukrainian].
Nakaz MOZ Ukrayiny № 455 Unifikovanyy klinichnyy protokol ekstrenoyi, pervynnoyi, vtorynnoyi (spetsializovanoyi) ta tretynnoyi (vysokospetsializovanoyi) medychnoyi dopomohy ta medychnoyi reabilitatsiyi «Hostryy koronarnyy syndrom z elevatsiyeyu sehmenta ST»: zatv. vid 02.07.2014roku [Approved by Order of the Ministry of Health of Ukraine No 455 Unified clinical protocol of emergency, primary, secondary (specialized) and tertiary (highly specialized) care and medical rehabilitation "Acute coronary syndrome with ST-segment elevation»: of 02.07.2014]. K.:DSMPDP «Derzh. eksp. tsentr MOZ Ukrayiny», 92 [in Ukrainian].
Chong, J.J.H., Ganesan, A.N., & Eipper, V. (2008). Comparison of left ventricular ejection fraction and inducible ventricular tachycardia in ST-elevation myocardial infarction treated by primary angioplasty versus thrombolysis. Am. J. Cardiol. Vol. 101, N2, 153-157.
Global health investigators surprised that risk factors for cardiovascular problems found to be inverse to disease and deaths. McMaster University, September 3, 2013. Rezhym dostupu: http://fhs.mcmaster.ca/main/news/news_2013/pure_study.html
Tadel-Kocjancic S., Zorman S., & Jazbec A. (2008) Effectiveness of primary percutaneous coronary intervention for acute ST-elevation myocardial infarction from a 5-year single-center experience. Am. J. Cardiol., 101 (2), 162-168.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
