The effectiveness of the organization of medical care for elderly patients with acute coronary syndrome in the regional vascular center
https://doi.org/10.30629/0023-2149-2020-98-4-294-299
Abstract
The article provides a retrospective analysis of the activities of the regional vascular center (RCC) of the Moscow City Clinical Hospital named after M.P. Konchalovsky, working in the framework of the Regional program of specialized medical care for acute coronary syndrome (ACS). A multidisciplinary team of doctors based on the RIC has been created at the hospital. Organizational measures allowed to reduce the time interval from the moment a patient with ACS arrives at the hospital admission department until the mechanical recanalization and stenting of the infarct-related artery begins, increase operative activity and reduce the average hospital bed-day of the patient's hospital stay.
About the Authors
V. I. Steklov
P.V. Мandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; M.P. Konchalovsky City Clinical Hospital
Russian Federation
Russian Federation
Vladimir I. Steklov — MD, PhD, DSc, head of the Department of roentgenosurgical methods of diagnosis and treatment (interventional treatment of arrhythmias and pacing).
107042, Moscow; 124489 Moscow, Zelenograd.
A. M. Gritsanchuk
M.P. Konchalovsky City Clinical Hospital; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
124489 Moscow, Zelenograd; 119991, Moscow.
O. V. Gridnev
M.P. Konchalovsky City Clinical Hospital; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
124489 Moscow, Zelenograd; 119991, Moscow.
E. V. Pesennikova
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
119991, Moscow.
V. V. Fomin
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
119991, Moscow.
References
1. Glushchenko V.A., Irklienko E.K. Cardiovascular morbidity is one of the most important public health problems. Medicine and Health Organization. 2019;4(1):56-63. (in Russian)
2. Ryzhkova Yu.D., Kanareykina E.V., Atabegashvili M.R. et al. Acute coronary syndrome in the elderly: features of patient management. Clinicist. 2019;13:19-26. (in Russian)
3. Engberding N., Wenger N.K. Acute coronary syndromes in the elderly. F1000Research. 2017;6:1791-98.
4. Gilyarov M.Yu., Zheltoukhova M.O., Konstantinova E.V. et al. Features of the treatment of acute coronary syndrome in elderly patients: experience of the City Clinical Hospital No. 1 named after N.I. Pirogov. Ratsional'naya farmakoterapiya v kardiologii. 2017;13(2):164-70. (in Russian)
5. Sauderson C.E., Brogan R.A., Simms A.D. et al. Acute coronary syndrome management in older adults: guidelines, temporal changes and challenges. Age and Ageing. 2014;43(4):450-5. DOI: 10.1093/ageing/afu034
6. Simerzin V.V., Garkina S.V., Gagloeva I.V. A multidisciplinary approach in the treatment of patients with chronic socially significant diseases. Vestnik Samarskogo gosudarstvennogo universiteta. 2007; 9: 307-316. (in Russian)
7. Neumann F.J., Sousa-Uva M., Ahlsson A. et al. ESC / EACTS recommendations for myocardial revascularization 2018. Rossijskij kar-diologicheskij zhurnal. 2019;8:151-226. (in Russian)
8. Chazov E.I., Boytsov S.A. Providing medical care to patients with acute coronary syndrome as part of the program for creating regional and primary vascular centers in the Russian Federation. Cardiologicheskii Vestnik. 2008;3(2):5-11. (in Russian)
9. Kireev K.A., Fokin A.A. The role of the vascular center in the implementation of the regional program of specialized medical care for acute coronary syndrome. Zdravoohranenie Rossijskoj Federacii. 2016;60(3):116-20. (in Russian)
10. Mitichkin A.E., Viskov R.V., Sementsov D.P., Stryuk R.I. Experience in organizing the work of the regional vascular center GBUZ «City Clinical Hospital No. 36» of the Moscow Department of Health for the treatment of patients with acute myocardial infarction. Medical business. 2014;(2):58-61. (in Russian)
11. World Health Organization. Global action plan on the public health response to dementia 2017-2025.
Review
For citations:
Steklov V.I., Gritsanchuk A.M., Gridnev O.V., Pesennikova E.V., Fomin V.V. The effectiveness of the organization of medical care for elderly patients with acute coronary syndrome in the regional vascular center. Clinical Medicine (Russian Journal). 2020;98(4):294-299. (In Russ.) https://doi.org/10.30629/0023-2149-2020-98-4-294-299
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