资源和基础设施 - - 低收入和中等收入国家的ST段升高心肌梗塞的适当管理
Y Chandrashekhar1, Thomas Alexander2, Ajit Mullasari3
1Division of Cardiology, University of Minnesota/VA Medical Center, Minneapolis (Y.C.).
Circulation
|June 17, 2020
概括
低收入和中等收入国家面临ST段升高心肌梗塞 (STEMI) 率的上升. 这份共识文件为这些地区提供了量身定制,资源适当的STEMI管理策略.
科学领域:
- 心脏病学
- 全球健康
- 卫生政策
背景情况:
- 低收入和中等收入国家 (LMIC) 的心血管疾病负担越来越大,特别是ST段升高心肌梗塞 (STEMI).
- 尽管高收入国家取得了更好的成果,但由于资源和认识有限,LMIC的STEMI结果仍不理想.
- 由于当地独特的挑战,对于STEMI的现有西方指导方针往往无法在LMIC直接实施.
研究的目的:
- 制定一个共识文件,为LMIC提供结构化,资源适当的STEMI管理准则.
- 从西方指导方针中提取可转移的元素,并将其调整为低至中产国家内部的具体现实和专家经验.
- 概述可实施的STEMI护理最佳实践,以适应LMIC的各种需求.
主要方法:
- 调查人员的多国合作集中在LMICSTEMI护理上.
- 从现有的西方STEMI指南中提取可转移的元素.
- 整合来自LMIC的专家经验和当地现实,以提供建议.
主要成果:
- 一份共识文件概述了以LMIC为重点的STEMI最佳实践的一般操作原则.
- 在LMIC中开发资源适当的STEMI管理的广泛范式.
- 为前线临床医生提供有针对性的信息,以规范护理途径.
结论:
- 定制,结构化的解决方案对于改善LMIC的STEMI结果至关重要.
- 这份共识文件为政府,组织和临床医生提供了一个框架,以在资源有限的环境中加强STEMI护理.
- 实施这些指导方针可以导致标准化护理途径和改善低至中产国家患者的治疗结果.
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