Construção e validação de um sistema integrado de dados de intervenção coronária percutânea no Brasil (registro ICP-BR): perfil clínico dos primeiros 1.249 paqcientes incluídos / Construction and validation of an Integrated Percutaneous Coronary Intervention Data System in Brazil (ICP-BR Registry): clinical profile of the first 1,249 patients included
Rev. bras. cardiol. invasiva
;
18(3): 256-262, set. 2010. tab, graf
Article
in Portuguese
| LILACS, SES-SP
| ID: lil-566799
RESUMO
INTRODUÇÃO:
A intervenção coronária percutânea cresceu de modo expressivo nas últimas décadas. Entretanto, relatos de resultados imediatos e a longo prazo desse procedimento em instituições brasileiras são esporádicos e restritos a alguns centros. A presente proposta objetiva descrever um sistema nacional para a avaliação dos indivíduos tratados por intervenção coronária percutânea no Brasil.Método:
O Registro ICP-BR foi constituído por meio de rede informatizada para a captação de dados, via web, sobre angioplastias coronárias realizadas no dia a dia da cardiologia intervencionista, sem critérios de exclusão. Em sua fase piloto, 8 centros nacionais foram selecionados para a coleta inicial de dados. Relatamos o perfil clínico e a evolução intra-hospitalar dos primeiros pacientes incluídos.Resultados:
De março de 2009 a dezembro de 2009, foram incluídos 1.249 pacientes na base de dados. No total, 60 por cento foram tratados pelo Sistema Único de Saúde, 38 por cento por planos de saúde e 2 por cento eram pagantes. A média de idade era de 63,7 + ou - 11,3 anos, 36 por cento eram diabéticos, 12 por cento tinham cirúrgia prévia e 27 tinham angioplastia prévia. À admissão, 39 por cento eram estáveis e 18 por cento tinham infartro com supradesnivelamento do segmento ST. Ultrassom intracoronário...ABSTRACT
BACKGROUND:
Percutaneous coronary intervention has grown dramatically in recent decades. However, reports of immediate and long-term results of this procedure in Brazilian institutions are sporadic and limited to some centers. This study is aimed at describing a national system to evaluate patients treated by percutaneous coronary intervention in Brazil.METHODS:
The ICP-BR Registry was established by a computerized network for data capture on coronary angioplasties performed in day-to-day interventional cardiology, without exclusion criteria. In the pilot phase 8 national centers were selected for the initial data collection. We report the clinical profile and in-hospital evolution of the first patients included.RESULTS:
From March 2009 to December 2009, 1,249 patients were included in the database. In total, 60% were treated by the Unified Health System, 38% by health insurance plans and 2% were private patients. Mean age was 63.7 ± 11.3 years, 36% were diabetic, 12% had prior surgery and 27% prior angioplasty. Upon admission, 39% were stable and 18% had ST elevation myocardial infarction. Intracoronary ultrasound or fractional flow reserve was performed in 2.8% cases. Stents were used in 93% of procedures, and drug-eluting stents in 16.2% of the patients. Mortality was 0.2% in stable patients, 2.4% in patients with acute coronary syndromes without ST elevation, 6.1% in patients with ST elevation myocardial infarction and 3.6% in those with anginal equivalent.CONCLUSIONS:
We describe the development and implementation of a computerized system to collect detailed data on percutaneous coronary intervention procedures in Brazil. Given the inclusive unrestricted character (all-comers) and prospective follow-up of patients, this data capture and recording system may contribute decisively to profile percutaneous coronary intervention in our country.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Health Profile
/
Information Systems
/
Angioplasty, Balloon, Coronary
/
Clinical Evolution
/
Angioplasty
Type of study:
Diagnostic study
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Rev. bras. cardiol. invasiva
Year:
2010
Type:
Article
Institution/Affiliation country:
FM/BR
/
Hospital das Clínicas da Universidade Federal de Minas Gerais (UFMG)/BR
/
Hospital das Clínicas da Universidade Federal do Rio Grande do Sul (UFRGS)/BR
/
Instituto Dante Pazzanese de Cardiologia (IDPC)/BR
/
Instituto de Cardiologia - Fundação Universitária de Cardiologia (IC-FUC)/BR
/
Instituto de Medicina Integral Professor Fernando Figueira (IMIP)/BR
/
Rede D'Or de Hospitais/BR
/
Sociedade Brasileira Hemodinâmica e Cardiologia Intervencionista (SBHCI)/BR
/
USP/BR
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