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Información del Artículo

Título:
+
Readmission in Unstable Angina.
Autores:
En: PUERTO RICO HEALTH SCIENCES JOURNAL, 14 (1) Mar. 1995:7-10. bibl. tablas.
Temas:
Revista: Puerto Rico health sciences journal, vol. 14, núm. 1; Mar. 1995
Resumen: Ciento veinte pacientes hospitalizados con angina inestable fueron estudiados en relación a readmisiones por la misma condición 22 meses después de ser dados de alta.
Resumen: El grupo A, compuesto por 50 pacientes, tuvo una incidencia de 2.6% readmisiones al hospital; en el Grupo B, con 70 pacientes, no hubo readmisiones.
Resumen: Las variables que determinaron las readmisiones fueron: la selección de tratamiento médico solamente (sin angioplastía o cirugía); ser mayor de 70 años; tener enfermedad coronaria difusa o desrrollar síntomas durante la prueba de ejercicio.
Resumen: Se concluye que en la era intervencional, los procedimientos terapéuticos invasivos (angioplastía o cirugía) deben ser usados en estos pacientes irrespectivo de la edad, en aquellos casos donde no existen contraindicaciones médicas mayores.
Resumen: To determine the characteristics of patients re-admitted after unstable angina (UA) pectoris, 120 consecutive patients hospitalized due to primary UA pectoris were prospectively studied 22 + 3 months after discharge.
Resumen: The patients were grouped based on the readmission rate. Those in group A (50) had recurrent admissions (mean 2.6, range 2 to 5).
Resumen: Seventy patients (group B) did not have readmissions during the follow-up period. All patients underwent coronary angiogram and symptoms-limited exercise stress test before discharge.
Resumen: The univariate characteristics for readmission were: age over 70 years (p = 0.02), nondiagnostic exercise stress testing (p = 0.03), angiographically diffuse coronary artery disease (p = 0.004), and non-interventional management (P [ 0.001).
Resumen: Patients readmitted had increased incidence of myocardial infarction (p = 0.004) but similar survival at 2 years. By regression analysis,important variables for readmissions were non-interventional management (Chi-Squqre = 7.6, p = 0.01), non diagnostic treadmill test (Chi-Square = 6.9, p= 0.03) and diffuse coronary artery disease (Chi-Square = 6.2, p = 0.04).
Resumen: It is concluded that in the interventional era the most important factor for readmission after primary UA pectoris is non-interventional management. Coronary revascularizationshould not be denied solely on the basis of age.
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