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COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF INNOVATIVE HIGH-TECH CARDIAC SURGERY IN PATIENTS WHO HAVE SUFFERED AN
U Chulpanov1, B Turdaliyeva2, M Buleshov3
11Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan.
Insights
Innovative high-tech cardiac surgery significantly reduces mortality in myocardial infarction patients. While effective across age groups, the most substantial benefit was observed in elderly patients receiving these advanced cardiac procedures.
Area of Science:
- Cardiovascular Surgery
- Medical Technology Assessment
- Public Health
Background:
- Acute myocardial infarction (heart attack) poses a significant mortality risk.
- Innovative high-tech cardiac surgery aims to improve patient outcomes.
- Evaluating the effectiveness of these advanced cardiac procedures is crucial for healthcare policy.
Purpose of the Study:
- To assess the medical and social effectiveness of innovative high-tech cardiac surgery for acute myocardial infarction patients.
- To compare inpatient mortality rates between patients receiving and not receiving these advanced cardiac interventions.
- To analyze the impact of these surgeries across different age demographics, particularly the elderly.
Main Methods:
- Comprehensive assessment including medical-statistical, sociological, financial-economic, and organizational methods.
- Logarithmic test analysis to evaluate the impact of specific procedures like stenting and bypass surgery.
- Comparative analysis of hospital mortality rates between intervention and control groups.
Main Results:
- High-tech cardiac surgery, including stenting and aorta-coronary bypass, significantly reduces hospital mortality in myocardial infarction patients (0.96% vs. 11.84%, p=0.002).
- The greatest reduction in hospital mortality was observed in elderly patients who underwent these advanced cardiac procedures.
- No significant mortality reduction was found in the elderly group when analyzed separately (p=0.779), indicating a nuanced effect within this demographic.
Conclusions:
- Innovative high-tech cardiac surgery demonstrates significant effectiveness in reducing mortality post-myocardial infarction.
- The success of these advanced cardiac procedures is contingent upon the availability of skilled cardiac surgeons and robust medical infrastructure.
- Further research may be needed to fully elucidate the impact on specific elderly subgroups.
Abstract:
The proposed scientific article discusses the results of evaluating the medical and social effectiveness of innovative high-tech cardiac surgery for patients who have suffered an acute myocardial infarction. It was established that the inpatient mortality rate of patients who did not receive innovative high-tech cardiac surgery is significantly higher than in those patients who received it. These differences are particularly noticeable when comparing data among the elderly.
Material And Methods:
A comprehensive assessment of the effectiveness of implementing high-tech medical services in the field of cardiovascular system includes an analysis of medical and statistical, sociological methods, financial and economic, organizational and managerial methods, as well as an assessment of the level of application of relevant regulations.
Results:
The results of a study using a logarithmic test showed that stenting of coronary vessels and aorta-coronary bypass surgery significantly reduce hospital mortality in patients with myocardial infarction in all age groups. The hospital mortality rate among patients of the main (who have received HTMC) age group was 0.96%, and among patients of the control (who haven't received HTMC) group - 11.84% (p=0.002). There was no significant reduction in mortality among the group of old patients (p=0.779). Thus, the largest difference in hospital mortality between the main and control groups was found only in elderly patients, p=0.002.
Conclusion:
the effectiveness of the achieved success depends not only on the introduction of innovative technology, but also on the availability of highly qualified cardiac surgeons and basic medical material and technical resources.
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