title: Health care for patients with acute coronary syndrome according to quality indicators.
abstract: OBJECTIVE
  to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.
  
  
  METHODS
  a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.
  
  
  RESULTS
  a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.
  
  
  CONCLUSIONS
  health care protocols are required to standardize practice and improve these indicators.
authors: Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem. Londrina-PR, Brasil.
authors: Gláucia de Souza Omori
authors: Gde S
authors: Maier
authors: Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem. Londrina-PR, Brasil.
authors: Eleine Aparecida Penha
authors: EA
authors: Martins
mesh_terms: D054058:Acute Coronary Syndrome / Q000628:therapy*; D000368:Aged; D005260:Female; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019984:Quality Indicators, Health Care