title: [The effectiveness of training schemes in the treatment of acute coronary syndrome at health centers].
abstract: OBJECTIVE
  A preliminary evaluation of the impact of a training program on pre-hospitalization care of acute coronary syndrome (ACS).
  
  
  METHODS
  A cross-sectional study.
  
  
  METHODS
  Lleida Health Service area.
  
  
  METHODS
  A total of 661 ACS cases were observed in the Intensive Medical Care Unit from January 1st 2002 to December 31st 2004.
  
  
  METHODS
  A training program for primary health care medical staff on the pre-hospitalization management of ACS from July 2003 to December 2006 in 29 health care centers was conducted. MAIN ENDPOINTS OF INTEREST: The evolution of 5 pre-hospitalization interventions, (acetylsalicylic acid, nitroglycerine, electrocardiogram, intravenous tube and intravenous morphine) throughout the study period was measured.
  
  
  RESULTS
  It was noted during the study that those centers in which training programs were held had a clear increase in the use of the 5 pre-hospitalization interventions. Insertion of an intravenous line, administration of intravenous morphine and administration of acetylsalicylic acid were all observed to have multiplied their use 10, 8 and 3 times, respectively.
  
  
  CONCLUSIONS
  A training scheme for general practitioners (GP) is essential to ensure appropriate care of patients with this condition.
authors.affiliation: Servicio de Cardiologíam, Hospital Universitario Arnau de Vilanova, Lleida, España. mpique@arnau.scs.es
authors.forename: M
authors.initials: M
authors.lastname: Piqué-Gilart
authors.forename: J
authors.initials: J
authors.lastname: Torres-Puig-Gros
authors.forename: B
authors.initials: B
authors.lastname: Balsera-Garrido
authors.forename: I
authors.initials: I
authors.lastname: Tarruella-Vidal
authors.forename: J
authors.initials: J
authors.lastname: Loscos-Solé
authors.forename: E
authors.initials: E
authors.lastname: Pueo-Crespo
authors.forename: M
authors.initials: M
authors.lastname: Almirall-Egerique
authors.forename: G
authors.initials: G
authors.lastname: Amat-Camats
authors.forename: S
authors.initials: S
authors.lastname: Barranco-Tomàs
authors.forename: M Maria
authors.initials: MM
authors.lastname: Bretcha-Vivó
authors.forename: J
authors.initials: J
authors.lastname: Cabré-Ollé
authors.forename: C
authors.initials: C
authors.lastname: Cardona-Cabasés
authors.forename: M
authors.initials: M
authors.lastname: Galán-Seuma
authors.forename: J M
authors.initials: JM
authors.lastname: Guiu-Bardají
authors.forename: J M
authors.initials: JM
authors.lastname: Lara-Nieto
authors.forename: M
authors.initials: M
authors.lastname: Tersa-Alcobé
authors.forename: T
authors.initials: T
authors.lastname: Vilá-Parrot
mesh_terms: D054058:Acute Coronary Syndrome / Q000628:therapy*; D000368:Aged; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D011320:Primary Health Care