Encuesta sobre las necesidades de los programas de angioplastia primaria en España

  1. Oriol Rodríguez-Leor 1
  2. B. Cid Álvarez 2
  3. Raúl Moreno Gómez 3
  4. Javier Martín Moreiras 4
  5. Ana María Serrador Frutos 5
  6. José Julio Jiménez-Alegre 6
  7. Sergio Raposeiras Roubín 7
  8. José R. Rumoroso Cuevas 8
  9. Armando Pérez de Prado 9
  10. Angel Cequier 10
  1. 1 Institut del Cor, ICOR, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
  2. 2 Servicio de Cardiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
  3. 3 Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
  4. 4 Servicio de Cardiología, Hospital Clínico Universitario de Salamanca, Salamanca, España
  5. 5 Servicio de Cardiología, Hospital Clínico Universitario de Valladolid, Valladolid, España
  6. 6 SAMUR Madrid, Madrid, España
  7. 7 Servicio de Cardiología, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, España
  8. 8 Servicio de Cardiología, Hospital Galdakao, Galdakao, Vizcaya, España
  9. 9 Servicio de Cardiología, Hospital Universitario de León, León, España
  10. 10 Área de Enfermedades del Corazón, Hospital Universitario de Bellvitge, IDIBELL, Universidad de Barcelona, L’Hospitalet de Llobregat, Barcelona, España
Journal:
REC: Interventional Cardiology

ISSN: 2604-7276 2604-7306

Year of publication: 2020

Volume: 2

Issue: 1

Pages: 8-14

Type: Article

DOI: 10.24875/RECIC.M19000046 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: REC: Interventional Cardiology

Abstract

Introduction and objectives: ST-segment elevation myocardial infarction (STEMI) regional networks pose great organizational differences that may compromise their results. The Working Group on Hemodynamics and Interventional Cardiology has carried out a survey among its members on the level of satisfaction and the state of primary angioplasty programs in Spain. Methods: On-line, open and anonymous survey, among the Hemodynamics and Interventional Cardiology Working Group members conducted between May 22 and June 5, 2018 on the necessities of the aforementioned programs and the degree of satisfaction of the professionals involved. Results: Answers were obtained from 172 professionals with representation from 75 centers and 17 autonomous communities. The number of angioplasties performed in the STEMI setting per year and per center was 259 ± 110. The degree of satisfaction of the professionals with the application of the Infarction Code and the degree of personal satisfaction scored 7.2 ± 2.2 and 7.2 ± 2.4 points out of 10, respectively, although with significant regional differences. The main areas of concern detected were logistics issues, insufficient paycheck compensations and lack of rest. The 55% were inclined to leave their on-call duties when possible. Conclusions: The survey has revealed a high degree of satisfaction by the professionals involved in STEMI treatment, although with notable differences among different autonomous communities and has allowed detecting logistical, structural and paycheck disturbances that can put primary angioplasty programs in situations of vulnerability.

Bibliographic References

  • 1. Ibañez B, James S, Agewal S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation:The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology. Eur Heart J. 2017;39:119-177.
  • 2. Kristensen SD, Laut KG, Fajadet J, et al. European Association for Percutaneous Cardiovascular Interventions. Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011:current status in 37 ESC countries. Eur Heart J. 2014;35:1957-1970.
  • 3. Knot J, Widimsky P, Wijns W, et al. How to set up an effective national primary angioplasty network:lessons learned from five European countries. Eurointervention. 2009,5:301-309.
  • 4. Rodriguez-Leor O, Fernandez-Nofrerias E, Mauri J, et al. Integration of a local into a regional primary angioplasty action plan (the Catalan Codi Infart network) reduce time to reperfusion. Int J Cardiol. 2013;168:4354-4357.
  • 5. Goicolea-Ruigómez J, Sabaté-Tenas M, Feldman M, Macaya C. The Current Status of Primary Percutaneous Coronary Intervention in Spain. Rev Esp Cardiol Supl. 2011;11C:15-20.
  • 6. Cequier A, Ariza-SoléA, Elola FJ, et al. Impact on Mortality of Different Network Systems in the Treatment of ST-segment Elevation Acute Myocardial Infarction. The Spanish Experience. Rev Esp Cardiol. 2017;70:155-161.
  • 7. Cid-Alvarez B, Rodriguez-Leor O, Moreno R, Perez de Prado A. Spanish Cardiac Catheterization and Coronary Intervention Registry. 27th Official Report of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology (1990-2017). Rev Esp Cardiol. 2018;71:1036-1046.
  • 8. Mate Redondo C, Rodríguez-Pérez MC, Domínguez Coello S, et al. Hospital mortality in 415 798 AMI patients:4 years earlier in the Canary Islands than in the rest of Spain. Rev Esp Cardiol. 2018. http://dx.doi.org/10.1016/j.rec.2018.06.023.
  • 9. Rodriguez-Leor O, Fernandez-Nofrerias E, Mauri F, et al. Analysis of reperfusion delay in patiens with acute myocardial infarction treated with primary angioplasty based on first medical contact and time of presentation. Rev Esp Cardiol. 2011;64:476-483.
  • 10. Sandoval Y, Lobo AS, Somers VK, et al. Sleep deprivation in interventional cardiology:Implications for patient care and physician-health. Catheter Cardiovasc Interv. 2018;91:905-910.
  • 11. Regueiro A, Bosch J, Martin-Yuste V, et al. Cost-effectiveness of an European ST-segment elevation myocardial infarction network:results from the Catalan Codi Infart network. BMJ Open. 2015;5:e009148.
  • 12. Majani J, Di Tano G, Giardini A, et al. Prevalence of job-related distress and satisfaction in a nationwide cardiology setting:The IANUS –itAliaN cardiologists'Undetected distress Study. J Cardiovasc Med. 2016;17:587-594.