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003 EG-GiCUC
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008 171126s2017 ua d f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.09.M.Sc.2017.Aa.A
100 0 _aAamir Siddiqui
245 1 0 _aAssessment of hospital performance using quality of care indicators in patients with acute st elevation myocardial infarction admitted at critical care department /
_cAamir Siddiqui ; Supervised Khaled Mohamed Abdelmegeed Toaima , Lamiaa Hamed , Mohamed Amin
246 1 5 _a تقييم أداء المستشفى بواسطة استخدام مؤشرات الجودة للمرضى ذوى الاحتشاء القلبى المصحوب بارتفاع القطعة (إس تى) فى رسم القلب الكهربى بقسم طب الحالات الحرجة
260 _aCairo :
_bAamir Siddiqui ,
_c2017
300 _a139 P. :
_bcharts ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520 _aBackground: Global researchers have found a wide practice gap between optimal care and actual care patients with acute ST-segment elevation myocardial infarction (STEMI). Indicators of quality of care for acute myocardial infarction (AMI) patients have already been developed. The main objective of the present study was to estimate the uptake to quality indicators that reflect the current evidence-based recommendations and guidelines. Methods: A descriptive study was conducted using review of medical records, and medical charts of new patients admitted and treated as acute STEMI at department of critical care medicine, Cairo university, between April 1st, 2015 to September 31st, 2016. For the purpose of the analysis, a set of highly predictive quality indicators has been used. Frequency or median was calculated, as appropriate, for each indicator, to estimate performance for each area of care. Univariate associations were examined using chi-square tests and student{u2019}s t-tests, as appropriate, and multivariate analysis has been done to choose best predictors. Results: From 222 patient with acute STEMI (mean age 56.3±11.78 years, 79.7% male), 13.51% presented to hospital after 12 hours of symptoms onset. Primary percutaneous coronary interventions (PCI) were applied on 81.1% cases (N=180) and median 2door to balloon3 time was 126.5 (mean144.01±107.477, N = 120) minutes. In the first 24 hours, ASA, Ý-blockers and angiotensin converting enzyme inhibitors (ACE-I) or AR-blockers was administered in 100%, 38.92% and 63.01% of the total eligible cases respectively
530 _aIssued also as CD
653 4 _aHospital
653 4 _aPerformance
653 4 _aQuality
700 0 _aKhaled Mohamed Abdelmegeed Toaima ,
_eSupervisor
700 0 _aLamiaa Hamed ,
_eSupervisor
700 0 _aMohamed Amin ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c63684
_d63684