Transdiciplinary approach to the follow-up of patients after myocardial infarction
Clinics
;
63(4): 489-496, 2008. tab
Artigo
em Inglês
| LILACS
| ID: lil-489658
ABSTRACT
OBJECTIVES:
To compare conventional and transdisciplinary care in a tertiary outpatient clinic for patients after their first acute myocardial infarction.METHODS:
One hundred fifty-three patients with acute myocardial infarction were randomized at hospital discharge and followed-up to compare conventional (n=75) and transdisciplinary care (n=78). They were submitted to a clinical evaluation, received a dietary plan, and were re-evaluated twice in 60-180 days by a nurse, dietitian and physician, when new clinical and laboratory data were collected. The primary outcome was clinical improvement, as evaluated by an index including reduction of body weight, lowering of blood pressure, smoking cessation, increase in physical activity and compliance with medication.RESULTS:
The groups were similar at baseline 63.4 percent were men, 89.9 percent had an acute myocardial infarction with ST-segment-elevation, 32.7 percent were diabetic, and 72.2 percent were hypertensive. The clinical improvement index was similar between the studied groups in 33.3 percent (transdisciplinary care) vs. 30.4 percent (conventional care) of patients, the improvement was very good (P=1.000). Rates of re-hospitalization and death (p=0.127) were similar between transdisciplinary and conventional care. Compliance with diet was higher for transdisciplinary care (50.0 percent) vs. conventional care (26.1 percent) (p=0.007), as was compliance with visits (73.3 vs. 40.3 percent, respectively, p<0.001).CONCLUSIONS:
Compliance with diet and visits was higher for transdisciplinary care vs. conventional care; however, the transdisciplinary approach did not provide more clinical benefits than the conventional approach after patients' first acute myocardial infarction in this setting.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Hospitalização
/
Atividade Motora
/
Infarto do Miocárdio
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Institute of Cardiology of Rio Grande do Sul/BR
Similares
MEDLINE
...
LILACS
LIS