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dc.contributor.authorCosta e Silva, Rosana Carolo dapt_BR
dc.contributor.authorPellanda, Lucia Campospt_BR
dc.contributor.authorPortal, Vera Luciapt_BR
dc.contributor.authorMaciel, Patríciapt_BR
dc.contributor.authorFurquim, Alinept_BR
dc.contributor.authorSchaan, Beatriz D'Agordpt_BR
dc.date.accessioned2012-06-27T01:31:58Zpt_BR
dc.date.issued2008pt_BR
dc.identifier.issn1807-5932pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/49787pt_BR
dc.description.abstractOBJECTIVES: To compare conventional and transdisciplinary care in a tertiary outpatient clinic for patients after their first acute myocardial infarction. METHODS: One hundred fifty-three patients with acute myocardial infarction were randomized at hospital discharge and followed-up to compare conventional (n=75) and transdisciplinary care (n=78). They were submitted to a clinical evaluation, received a dietary plan, and were re-evaluated twice in 60-180 days by a nurse, dietitian and physician, when new clinical and laboratory data were collected. The primary outcome was clinical improvement, as evaluated by an index including reduction of body weight, lowering of blood pressure, smoking cessation, increase in physical activity and compliance with medication. RESULTS: The groups were similar at baseline: 63.4% were men, 89.9% had an acute myocardial infarction with ST-segment-elevation, 32.7% were diabetic, and 72.2% were hypertensive. The clinical improvement index was similar between the studied groups: in 33.3 % (transdisciplinary care) vs. 30.4 % (conventional care) of patients, the improvement was very good (P=1.000). Rates of re-hospitalization and death (p=0.127) were similar between transdisciplinary and conventional care. Compliance with diet was higher for transdisciplinary care (50.0%) vs. conventional care (26.1%) (p=0.007), as was compliance with visits (73.3 vs. 40.3%, respectively, p<0.001). CONCLUSIONS: Compliance with diet and visits was higher for transdisciplinary care vs. conventional care; however, the trans¬disciplinary approach did not provide more clinical benefits than the conventional approach after patients’ first acute myocardial infarction in this setting.en
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofClinics. São Paulo. Vol. 63, n. 4 (2008), p. 489-496pt_BR
dc.rightsOpen Accessen
dc.subjectInfarto do miocárdiopt_BR
dc.subjectAcute myocardial infarctionen
dc.subjectCardiovascular diseasesen
dc.subjectDoenças cardiovascularespt_BR
dc.subjectAssistência ambulatorialpt_BR
dc.subjectAmbulatory care/methodsen
dc.subjectPreventionen
dc.subjectFollow-upen
dc.titleTransdiciplinary approach to the follow-up of patients after myocardial infarctionpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000706911pt_BR
dc.type.originEstrangeiropt_BR


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