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Code infarction initiative of Bajio region, during the pandemic by COVID-19 in a reconversion hospital
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Villar-Valencia, Cristian Adrián
; Hernández-González, Martha Alicia
; Borrayo-Sánchez, Gabriela
; Celis-Quintal, Juan German
; Solorio-Meza, Sergio Eduardo
; Medina-Torres, Oscar Samuel
; Gutiérrez-Galván, Maraí Xochitl
; Rodríguez-Martínez, Braulio
; Prado-Rodríguez, Luis Humberto
; Vázquez-Morones, Ana Laura
; Alatoma-Medina, Juan Pablo
; Hernández-Estala, Jorge
; Patiño-Amaya, Aristóteles
; Magdaleno-Serrano, Hugo Ivan
; Rodríguez-Déniz, Carmen
; Arellano-Sotelo, Hugo
; Nava-Hernández, Guillermo
; Ramírez-Vázquez, Ricardo
; Chimal-Flores, Marco Antonio
; Alegría-Peredia, Emiliano
; Ramos-González, Gerardo Rubén
; Pérez-Benítez, Rigoberto
; Bermúdez-Acévez, Erik
; Valencia-Martínez, Hypatia
; Segovia-Solís, Hugo
; López-Varela, Manuel
; Monroy-Córdoba, Doryan
; Marmolejo-López, Adriana
; Báez-Montes, Alfredo
; Hernández-Cerqueda, Fabián
; Nolasco-Muñoz, Luis Ricardo
; Vargas-Ramírez, Luis Manuel
; Celis-Quintal, Juan German
; Bernal-Ruíz, Enrique Alfredo
; Delgado-Sánchez, Anabella
; Sánchez-López, José Manuel
; Bautista-López, Germán Ramón
; Acevedo-Gómez, Pablo Francisco
; Acuña-Valerio, Jorge Francisco
; González-Ortíz, Oracio
; Hernández-Padilla, Adolfo Asahel
; Solórzano-Vázquez, Marco Alejandro
; Franco-Herrera, Noel
; González, Luis Jonathan
; Reyes-Álvarez, José Miguel
; Salinas-Cavazos, Iván Rosendo
; Tiscareño-Villanueva, Ashby Daniel
; Vidrio-Villaseñor, Ramiro
; Fernández-Yáñez, Gabriel
; Meza, Ma. Guadalupe
; Nucamendi-Solórzano, Freeman Issac
; Sandoval-Uribe, José de Jesús
; Sotelo-García, Luis David
; Zamoaya-Paz, Luis Carlos
; Espriu, Donovan Fernando
; García-Rodríguez, Román
; López-Ibarra, Daniel Eugenio
; López-Valencia, Andrea Janeth
; Villar-Valencia, Cristian Adrián
; Navarro-Pérez-Macedo, Javier
.
Cardiovascular and metabolic science
- Métricas do periódico
Abstract: Introduction: Acute myocardial infarction has a high prevalence and possibility of death if timely care is not given. It is possible that treatment could be delayed during a health crisis such as the COVID-19 pandemic. Objective: The objective of this study was to evaluate the impact of the COVID-19 pandemic on the function of the infarction code in the High Specialty Medical Unit of our institution. The medical indicators of acute coronary ischemic syndrome with ST-segment elevation were compared at two times: before the COVID-19 pandemic and during it. Material and methods: An ambispective, analytical, comparative cohort study was conducted, comparing the periods of February-September 2019 and February-September 2020, in the High Specialty Medical Unit, Centro Médico del Bajío number 1, Instituto Mexicano del Seguro Social, Leon, Guanajuato, Mexico. All patients older than 18 years with clinical, electrocardiographic, and enzymatic data of acute coronary ischemic syndrome, accepted in the medical network as infarction code registered in the National Registry of Acute Coronary Ischemic Syndromes (RENASCA) electronic case report form were included in the study. Results: The independent samples t-test was used to determine the impact of the infarction code initiative based on the reperfusion therapies performed, the door-to-needle, the door-to-balloon time, and the ischemia time. There was a significant difference in the reperfusion strategy, with greater thrombolysis during the COVID-19 pandemic (57.4% versus 72.6%, odds ratio [OR] 1.97, 95% confidence interval [CI] 0.49-0.82, p < 0.001), as well as reperfusion criteria (21.03% versus 35.37%, OR 2.05, 95% CI 0.53-0.80, p < 0.0001). Mortality was not different between the time periods. Conclusions: The COVID-19 pandemic has not impacted operation of the infarction code in the High Specialty Medical Unit Centro Médico del Bajío number 1 because the medical indicators of acute coronary ischemic syndrome with ST-segment elevation did not change.
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2.
Consenso Colombiano para la prevención, diagnóstico y manejo de condiciones trombóticas en pacientes adultos con COVID-19: aplicando el Marco de la Evidencia a la Decisión (EtD) GRADE
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Acevedo-Peña, Juan
; Yomayusa-González, Nancy
; Cantor-Cruz, Francy
; Pinzon-Florez, Carlos
; Barrero-Garzón, Liliana
; De-La-Hoz-Siegler, Ilich
; Low-Padilla, Eduardo
; Ramírez-Ceron, Carlos
; Combariza-Vallejo, Felipe
; Arias-Barrera, Carlos
; Moreno-Cortés, Javier
; Rozo-Vanstrahlen, José
; Correa-Pérez, Liliana
; Rojas-Gambasica, José
; González-González, Camilo
; La-Rotta-Caballero, Eduardo
; Ruíz-Talero, Paula
; Contreras-Páez, Rubén
; Lineros-Montañez, Alberto
; Ordoñez-Cardales, Jorge
; Escobar-Olaya, Mario
; Izaguirre-Ávila, Raúl
; Campos-Guerra, Joao
; Accini-Mendoza, José
; Pizarro-Gómez, Camilo
; Patiño-Pérez, Adulkarín
; Flores-Rodríguez, Janine
; Valencia-Moreno, Albert
; Londoño-Villegas, Alejandro
; Saavedra-Rodríguez, Alfredo
; Madera-Rojas, Ana
; Caballero-Arteaga, Andrés
; Díaz-Campos, Andrés
; Correa-Rivera, Felipe
; Mantilla-Reinaud, Andrés
; Becerra-Torres, Ángela
; Peña-Castellanos, Ángela
; Reina-Soler, Aura
; Escobar-Suarez, Bibiana
; Patiño-Escobar, Bonell
; Rodríguez-Cortés, Camilo
; Rebolledo-Maldonado, Carlos
; Ocampo-Botero, Carlos
; Rivera-Ordoñez, Carlos
; Saavedra-Trujillo, Carlos
; Figueroa-Restrepo, Catalina
; Agudelo-López, Claudia
; Jaramillo-Villegas, Claudia
; Villaquirán-Torres, Claudio
; Rodríguez-Ariza, Daniel
; Rincón-Valenzuela, David
; Lemus-Rojas, Melissa
; Pinto-Pinzón, Diego
; Garzón-Díaz, Diego
; Cubillos-Apolinar, Diego
; Beltrán-Linares, Edgar
; Kondo-Rodríguez, Emilio
; Yama-Mosquera, Erica
; Polania-Fierro, Ernesto
; Real-Urbina, Evalo
; Rosas-Romero, Andrés
; Mendoza-Beltrán, Fernán
; Guevara-Pulido, Fredy
; Celia-Márquez, Gina
; Ramos-Ramos, Gloria
; Prada-Martínez, Gonzalo
; León-Basantes, Guillermo
; Liévano-Sánchez, Guillermo
; Ortíz-Ruíz, Guillermo
; Barreto-García, Gustavo
; Ibagón-Nieto, Harold
; Idrobo-Quintero, Henry
; Martínez-Ramírez, Ingrid
; Solarte-Rodríguez, Ivan
; Quintero-Barrios, Jorge
; Arenas-Gamboa, Jaime
; Pérez-Cely, Jairo
; Castellanos-Parada, Jeffrey
; Garzón-Martínez, Fredy
; Luna-Ríos, Joaquín
; Lara-Terán, Joffre
; Vargas-Fodríguez, Johanna
; Dueñas-Villamil, Rubén
; Bohórquez-Feyes, Vicente
; Martínez-Acosta, Carlos
; Gómez-Mesa, Esteban
; Gaitán-Rozo, Julián
; Cortes-Colorado, Julián
; Coral-Casas, Juliana
; Horlandy-Gómez, Laura
; Bautista-Toloza, Leonardo
; Palacios Palacios, Leonardo
; Fajardo-Latorre, Lina
; Pino-Villarreal, Luis
; Rojas-Puentes, Leonardo
; Rodríguez-Sánchez, Patricia
; Herrera-Méndez, Mauricio
; Orozco-Levi, Mauricio
; Sosa-Briceño, Mónica
; Moreno-Ruíz, Nelson
; Sáenz-Morales, Oscar
; Amaya-González, Pablo
; Ramírez-García, Sergio
; Nieto-Estrada, Víctor
; Carballo-Zárate, Virgil
; Abello-Polo, Virginia
.
resumen está disponible en el texto completo
Abstract Recent studies have reported the occurrence of thrombotic phenomena or coagulopathy in patients with COVID-19. There are divergent positions regarding the prevention, diagnosis, and treatment of these phenomena, and current clinical practice is based solely on deductions by extension from retrospective studies, case series, observational studies, and international guidelines developed prior to the pandemic. In this context, the aim was to generate a group of recommendations on the prevention, diagnosis and management of thrombotic complications associated with COVID-19. Methods: A rapid guidance was carried out applying the GRADE Evidence to Decision (EtD) frameworks and an iterative participation system, with statistical and qualitative analysis. Results: 31 clinical recommendations were generated focused on: a) Coagulation tests in symptomatic adults with suspected infection or confirmed SARS CoV-2 infection; b) Thromboprophylaxis in adults diagnosed with COVID-19 (Risk scales, thromboprophylaxis for outpatient, in-hospital management, and duration of thromboprophylaxis after discharge from hospitalization), c) Diagnosis and treatment of thrombotic complications, and d) Management of people with previous indication of anticoagulant agents. Conclusions: Recommendations of this consensus guide clinical decision-making regarding the prevention, diagnosis, and treatment of thrombotic phenomena in patients with COVID-19, and represent an agreement that will help decrease the dispersion in clinical practices according to the challenge imposed by the pandemic.
https://doi.org/10.36104/amc.2021.2078
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3.
COVID-19 voluntary social isolation and its effects in sociofamily and children’s behavior
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Torres González, Cynthia
; Galindo-Aldana, Gilberto
; García León, Ibza America
; Padilla-López, Luis Alfredo
; Alvarez Núñez, Daniel Nikolaus
; Espinoza Gutiérrez, Yojana Irlanda
.
Abstract Introduction The main prevention strategy for reducing the dispersion of the SARS-CoV-2 has been social distancing. Several investigations began to explore its psychological impact since it began, but there are no data about its effect on social and family behavior. Objectives Were: First, to analyze the reliability of an ad-hoc designed questionnaire to measure sociofamily behavior changes in a sample of parents of children from one to twelve years old. Second, to characterize effects of voluntary social isolation by COVID-19 over sociofamily behavior at a personal level and over children’s activities at home. Third, to determine vulnerability predictors for a negative experience by isolation itself. Method An online Questionnaire for Perceptions of Changes in Sociofamily Behavior was applied to 365 Mexican participants. Results Factor analysis showed a reliability of the ad-hoc designed questionnaire for this study. Correlations were found between voluntary social isolation and self-perceived experiences, such as sleep quality, irritability, emotional control, hope about the future, motivation, attention span, and problem solving. Discussion and conclusion The results of this study suggest that family well-being during voluntary social isolation is a complex and multifactorial phenomenon, which addresses specific effects in different domains, especially in sociofamily behavior.
Resumen Introducción La principal estrategia de prevención para frenar la dispersión del SARS-CoV-2 ha sido el distanciamiento social. Varias investigaciones han comenzado a explorar su impacto psicológico, pero no existen datos hasta el momento acerca del efecto en la conducta social y familiar. Objetivos Primero, analizar la confiabilidad de un cuestionario ad-hoc elaborado para medir los cambios sociofamiliares en una muestra de adultos padres de niños de uno a 12 años. Segundo, caracterizar los efectos del aislamiento social voluntario COVID-19 en la conducta sociofamiliar a nivel personal y sobre las actividades infantiles en casa. Tercero, determinar los predictores de vulnerabilidad para presentar una experiencia negativa del aislamiento. Método Se aplicó el Cuestionario de Percepción de Cambios en la Conducta Sociofamiliar en línea a 365 participantes mexicanos. Resultados El análisis factorial mostró que el cuestionario ad-hoc elaborado para este estudio es confiable. Además, los datos mostraron un efecto principal de variables como el nivel socioeconómico, la fuente de ingresos y el estado civil. También, se encontraron correlaciones entre la experiencia personal de aislamiento, como la calidad del sueño, la irritabilidad, el control emocional, las esperanzas sobre el futuro, la motivación, la capacidad de atención y la resolución de problemas. Discusión y conclusión Los resultados de este estudio sugieren que el bienestar familiar durante el aislamiento es un fenómeno complejo y multifactorial, que además revela efectos específicos en la conducta sociofamiliar.
https://doi.org/10.17711/sm.0185-3325.2020.036
1177 downloads
4.
Consenso colombiano para la prevención, el diagnóstico y el tratamiento de condiciones trombóticas en adultos con COVID-19: aplicando el Marco de la Evidencia a la Decisión (EtD) GRADE
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Acevedo-Peña, Juan
; Yomayusa-González, Nancy
; Cantor-Cruz, Francy
; Pinzón-Flórez, Carlos
; Barrero-Garzón, Liliana
; De-La-Hoz-Siegler, Ilich
; Low-Padilla, Eduardo
; Ramírez-Cerón, Carlos
; Combariza-Vallejo, Felipe
; Arias-Barrera, Carlos
; Moreno-Cortés, Javier
; Rozo-Vanstrahlen, José
; Correa-Pérez, Liliana
; Rojas-Gambasica, José
; González-González, Camilo
; La-Rotta-Caballero, Eduardo
; Ruíz-Talero, Paula
; Contreras-Páez, Rubén
; Lineros-Montañez, Alberto
; Ordoñez-Cardales, Jorge
; Escobar-Olaya, Mario
; Izaguirre-Ávila, Raúl
; Campos-Guerra, Joao
; Accini-Mendoza, José
; Pizarro-Gómez, Camilo
; Patiño-Pérez, Adulkarín
; Flores-Rodríguez, Janine
; Valencia-Moreno, Albert
; Londoño-Villegas, Alejandro
; Saavedra-Rodríguez, Alfredo
; Madera-Rojas, Ana
; Caballero-Arteagam, Andrés
; Díaz-Campos, Andrés
; Correa-Rivera, Felipe
; Mantilla-Reinaud, Andrés
; Becerra-Torres, Ángela
; Peña-Castellanos, Ángela
; Reina-Soler, Aura
; Escobar-Suarez, Bibiana
; Patiño-Escobar, Bonell
; Rodríguez-Cortés, Camilo
; Rebolledo-Maldonado, Carlos
; Ocampo-Botero, Carlos
; Rivera-Ordoñez, Carlos
; Saavedra-Trujillo, Carlos
; Figueroa-Restrepo, Catalina
; Agudelo-López, Claudia
; Jaramillo-Villegas, Claudia
; Villaquirán-Torres, Claudio
; Rodríguez-Ariza, Daniel
; Rincón-Valenzuela, David
; Lemus-Rojas, Melissa
; Pinto-Pinzón, Diego
; Garzón-Díaz, Diego
; Cubillos-Apolinar, Diego
; Beltrán-Linares, Edgar
; Kondo-Rodríguez, Emilio
; Yama-Mosquera, Erica
; Polania-Fierro, Ernesto
; Real-Urbina, Evalo
; Rosas-Romero, Andrés
; Mendoza-Beltrán, Fernán
; Guevara-Pulido, Fredy
; Celia-Márquez, Gina
; Ramos-Ramos, Gloria
; Prada-Martínez, Gonzalo
; León-Basantes, Guillermo
; Liévano-Sánchez, Guillermo
; Ortíz-Ruíz, Guillermo
; Barreto-García, Gustavo
; Ibagón-Nieto, Harold
; Idrobo-Quintero, Henry
; Martínez-Ramírez, Ingrid
; Solarte-Rodríguez, Ivan
; Quintero-Barrios, Jorge
; Arenas-Gamboa, Jaime
; Pérez-Cely, Jairo
; Castellanos-Parada, Jeffrey
; Garzón-Martínez, Fredy
; Luna-Ríos, Joaquín
; Lara-Terán, Joffre
; Vargas-Rodríguez, Johanna
; Dueñas-Villamil, Rubén
; Bohórquez-Reyes, Vicente
; Martínez-Acosta, Carlos
; Gómez-Mesa, Esteban
; Gaitán-Rozo, Julián
; Cortes-Colorado, Julián
; Coral-Casas, Juliana
; Horlandy-Gómez, Laura
; Bautista-Toloza, Leonardo
; Palacios, Leonardo Palacios
; Fajardo-Latorre, Lina
; Pino-Villarreal, Luis
; Rojas-Puentes, Leonardo
; Rodríguez-Sánchez, Patricia
; Herrera-Méndez, Mauricio
; Orozco-Levi, Mauricio
; Sosa-Briceño, Mónica
; Moreno-Ruíz, Nelson
; Sáenz-Morales, Oscar
; Amaya-González, Pablo
; Ramírez-García, Sergio
; Nieto-Estrada, Víctor
; Carballo-Zárate, Virgil
; Abello-Polo, Virginia
.
resumen está disponible en el texto completo
Abstract Introduction: recent studies have reported the occurrence of thrombotic phenomena or coagulopathy in patients with COVID-19. There are divergent positions regarding the prevention, diagnosis, and treatment of these phenomena, and current clinical practice is based solely on deductions by extension from retrospective studies, case series, observational studies, and international guidelines developed prior to the pandemic. Objective: to generate a group of recommendations on the prevention, diagnosis and management of thrombotic complications associated with COVID-19. Methods: a rapid guidance was carried out applying the GRADE Evidence to Decision (EtD) frameworks and an iterative participation system, with statistical and qualitative analysis. Results: 31 clinical recommendations were generated focused on: a) Coagulation tests in symptomatic adults with suspected infection or confirmed SARS CoV-2 infection; b) Thromboprophylaxis in adults diagnosed with COVID-19 (Risk scales, thromboprophylaxis for outpatient, in-hospital management, and duration of thromboprophylaxis after discharge from hospitalization), c) Diagnosis and treatment of thrombotic complications, and d) Management of people with previous indication of anticoagulant agents. Conclusions: recommendations of this consensus guide clinical decision-making regarding the prevention, diagnosis, and treatment of thrombotic phenomena in patients with COVID-19, and represent an agreement that will help decrease the dispersion in clinical practices according to the challenge imposed by the pandemic.
https://doi.org/10.1016/j.rccar.2020.08.003
86 downloads
5.
El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca
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Salazar-Martínez, Eduardo
; Sánchez-Zamorano, Luisa María
; López-Padilla, Luis Alfredo
; Estrada-Nájera, Adrián
; Lazcano-Ponce, Eduardo C
; Hernández-Avila, Mauricio
.
Objective. To assess the impact of cigarette smoking on coronary heart disease (CHD) and to propose a simple and efficient method to estimate its attributable fraction (AF). Material and Methods. A matched case-control study was conducted in the Regional Hospital of Instituto Mexicano del Seguro Social (Mexican Institute of Social Security) in Morelos State, Mexico, from May to June-2000. Cases were 80 prevalent and incident patients with CHD. One-hundred-sixty controls matched by sex and age were randomly selected from the outpatient clinic. The attributable fraction was obtained through summary estimators, variances, and confidence intervals for matched designs with more than one control per case. Results. The prevalence of cigarette smoking previous to the coronary event was 80%, compared to 62.1% in controls. Mantel-Haenszel odds ratios showed a positive association of cigarette smoking with CHD (OR, 6.7; 95% CI, 3.2-13.8). The attributable fraction among the exposed was 85% (95% CI, 74-95) while the population attributable fraction was 56% (95% CI, 45-66). The AF in exposed was 65% for males (95% CI, 53-77) and 31% for females (95% CI 14-47). Conclusions. The long-term smoking AF on CHD is greater than 85%. Such a high AF should be countered with the implementation of primary prevention measures to encourage smoking cessation and with smoking cessation clinics for active smokers. These are the two most important public health interventions to prevent CHD and a variety of chronic diseases.
Objetivo. Evaluar el impacto que provoca el tabaquismo sobre la enfermedad isquémica cardiaca (EIC) así como proponer una metodología simple y eficiente de estimación estándar de la fracción atribuible a éste. Material y métodos. Se realizó un estudio de casos y controles pareado en el Hospital Regional No. 1 del Instituto Mexicano del Seguro Social de Cuernavaca, estado de Morelos, México, de mayo a junio del año 2000. Los casos fueron 80 pacientes prevalentes e incidentes de EIC. Se seleccionaron aleatoriamente 160 controles de la consulta de medicina familiar pareados por edad y sexo. La estimación de la fracción atribuible se obtuvo a través de estimadores sumarios, varianza e intervalos de confianza para diseños pareados por más de un control por cada caso. Resultados. La prevalencia de tabaquismo previo al evento isquémico en los casos fue de 80%, comparado con 62% de prevalencia de los controles. La razón de momios de Mantel & Haenszel mostró una asociación positiva del tabaquismo con EIC (RM, 6.77; IC 95%, 3.2-13.8). La fracción atribuible entre los expuestos fue de 85% (IC 95%, 74-95), mientras que la fracción atribuible poblacional fue de 56% (IC 95%, 45-66); en hombres fue de 65% (IC 95%, 53-77) y en mujeres de 31% (IC 95%, 14-47). Conclusiones. La fracción atribuible de exposición prolongada al humo del cigarro en EIC en fumadores es de 85%, por esta razón medidas de intervención primaria para desalentar el consumo de tabaco, y el establecimiento de clínicas antitabaco en fumadores activos, continúan siendo las más relevantes medidas de salud pública actuales, no sólo para prevenir enfermedad cardiovascular, sino un gran espectro de enfermedades crónicas.
3484 downloads
Citado 2 vezes em SciELO
6.
El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca
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Salazar-Martínez, Eduardo
; Sánchez-Zamorano, Luisa María
; López-Padilla, Luis Alfredo
; Estrada-Nájera, Adrián
; Lazcano-Ponce, Eduardo C
; Hernández-Avila, Mauricio
.
Objective. To assess the impact of cigarette smoking on coronary heart disease (CHD) and to propose a simple and efficient method to estimate its attributable fraction (AF). Material and Methods. A matched case-control study was conducted in the Regional Hospital of Instituto Mexicano del Seguro Social (Mexican Institute of Social Security) in Morelos State, Mexico, from May to June-2000. Cases were 80 prevalent and incident patients with CHD. One-hundred-sixty controls matched by sex and age were randomly selected from the outpatient clinic. The attributable fraction was obtained through summary estimators, variances, and confidence intervals for matched designs with more than one control per case. Results. The prevalence of cigarette smoking previous to the coronary event was 80%, compared to 62.1% in controls. Mantel-Haenszel odds ratios showed a positive association of cigarette smoking with CHD (OR, 6.7; 95% CI, 3.2-13.8). The attributable fraction among the exposed was 85% (95% CI, 74-95) while the population attributable fraction was 56% (95% CI, 45-66). The AF in exposed was 65% for males (95% CI, 53-77) and 31% for females (95% CI 14-47). Conclusions. The long-term smoking AF on CHD is greater than 85%. Such a high AF should be countered with the implementation of primary prevention measures to encourage smoking cessation and with smoking cessation clinics for active smokers. These are the two most important public health interventions to prevent CHD and a variety of chronic diseases.
Objetivo. Evaluar el impacto que provoca el tabaquismo sobre la enfermedad isquémica cardiaca (EIC) así como proponer una metodología simple y eficiente de estimación estándar de la fracción atribuible a éste. Material y métodos. Se realizó un estudio de casos y controles pareado en el Hospital Regional No. 1 del Instituto Mexicano del Seguro Social de Cuernavaca, estado de Morelos, México, de mayo a junio del año 2000. Los casos fueron 80 pacientes prevalentes e incidentes de EIC. Se seleccionaron aleatoriamente 160 controles de la consulta de medicina familiar pareados por edad y sexo. La estimación de la fracción atribuible se obtuvo a través de estimadores sumarios, varianza e intervalos de confianza para diseños pareados por más de un control por cada caso. Resultados. La prevalencia de tabaquismo previo al evento isquémico en los casos fue de 80%, comparado con 62% de prevalencia de los controles. La razón de momios de Mantel & Haenszel mostró una asociación positiva del tabaquismo con EIC (RM, 6.77; IC 95%, 3.2-13.8). La fracción atribuible entre los expuestos fue de 85% (IC 95%, 74-95), mientras que la fracción atribuible poblacional fue de 56% (IC 95%, 45-66); en hombres fue de 65% (IC 95%, 53-77) y en mujeres de 31% (IC 95%, 14-47). Conclusiones. La fracción atribuible de exposición prolongada al humo del cigarro en EIC en fumadores es de 85%, por esta razón medidas de intervención primaria para desalentar el consumo de tabaco, y el establecimiento de clínicas antitabaco en fumadores activos, continúan siendo las más relevantes medidas de salud pública actuales, no sólo para prevenir enfermedad cardiovascular, sino un gran espectro de enfermedades crónicas.
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ab | resumo |
ta | título abreviado da revista (ex. Cad. Saúde Pública) |
journal_title | título completo da revista (ex. Cadernos de Saúde Pública) |
la | código do idioma da publicação (ex. pt - Português, es - Espanhol) |
type | tipo do documento |
pid | identificador da publicação |
publication_year | ano de publicação do artigo |
sponsor | financiador |
aff_country | código do país de afiliação do autor |
aff_institution | instituição de afiliação do autor |
volume | volume do artigo |
issue | número do artigo |
elocation | elocation |
doi | número DOI |
issn | ISSN da revista |
in | código da coleção SciELO (ex. scl - Brasil, col - Colômbia) |
use_license | código da licença de uso do artigo |