ESTRATIFICACIÓN INICIAL DE LOS PACIENTES INGRESADOS CON ANGINA INESTABLE DE ACUERDO A LA ESCALA DE TIMI EN EL SERVICIO DE URGENCIAS ADULTOS DEL HOSPITAL REGIONAL 1º DE OCTUBRE

Abstract

Initial stratification of patients admitted with unstable angina according to the TIMI Risk Score in the Emergency Adults in the Hospital Regional 1o de Octubre. Background: Unstable Angina (UA), is a clinical entity defined by specific pathophysiology and treatment. The natural history of this disease, shows an increased incidence of acute myocardial infarction and death in the early months and first year after coronary event. The delay in receiving medical care at any stage of this disease can motivate the presentation of complications. Objective: To report the stratification of patients admitted with acute unstable angina according to the TIMI scale in the Emergency Adult Regional Hospital on October 1 to identify patients at high coronary risk. Material and methods: Observational, Descriptive, retrospective, transverse, the sample size consisted of 105 patients admitted with diagnosis of unstable angina, patients of either gender over 34 years attending the Emergency Adult in the Hospital Regional 1o de Octubre in the period from January to June 2010. Results: 105 patients were analyzed according to selection criteria, from this 47.6% were women and 52.4% were men. According to the TIMI score showed that 50 of the patients presented a score of 0 to 2 represented by the largest number of cases, followed by 37 patients on a scale score 3 to 4, and only 18 patients presented from 5 to 7 points. The initial risk stratification of this age group have the largest presentation of cases at the ages of 45 - 64 years. Conclusion: It is necessary to perform an initial stratification of these patients, allowing, first, reduce the number of admissions for this cause represented in low-risk cases with a score of 0 to 2 and involving a large number of patients, and more important to identify higher risk patients who benefit from closer monitoring and a more require aggressive early coronary intervention.