Author + information
- A.S. Jose,
- F.H. Barreto,
- Laís Costa Souza Oliveira,
- Jeferson Cunha Oliveira,
- Ikaro Daniel De Carvalho Barreto,
- Larissa Andreline Maia Arcelino,
- José Eduardo Pereira Ferreira,
- José Teles De Mendonça,
- Rafael Barreto,
- Enilson Moraes,
- Thiago Nascimento,
- Luiz Flávio Prado,
- Fabio Silveira,
- Marcos Antônio Almeida Santos,
- Antônio Carlos Sobral Sousa and
- Jussiely Cunha Oliveira
Background: In 1990, Brazil launched its public and universal healthcare system – Unified Health System (SUS), promising to abolish disparities. Whether patients with ST-segment elevation myocardial infarction (STEMI) using SUS are receiving similar quality of care as those using private healthcare insurance (PHI) is scarcely known.
Methods: We used the VICTIM registry (VIa Crucis for the Treatment of Infarct of Myocardium), involving all PCI hospitals (1 for SUS and 3 for private patients) of Sergipe, the smallest state of Brazil, to compare disparities for STEMI patients using SUS and PHI. From December 2014 to April 2016, we enrolled 460 patients admitted with STEMI. We investigated the timeliness of arrival at one of the PCI hospitals; rates of resources utilization including thrombolysis, primary PCI, and revascularization procedures; and in-hospital mortality.
Results: The main results, in Table.
Conclusions: Comparing the preliminary results for SUS and PHI STEMI patients, we demonstrated, using this unique representative statewide registry in Brazil, that: (1) less than half of SUS patients arrived in the 12-h reperfusion window; (2) reperfusion was underutilized in both groups; (3) SUS users were less likely to receive timely reperfusion; and (4) SUS users tended to present higher in-hospital death rates. Our data suggest that the Brazilian universal healthcare system (SUS) is not fulfilling the constitutional right to equity in healthcare.
Poster Contributions Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Timely Topics in Acute Coronary Syndromes
Abstract Category: 15. Interventional Cardiology: ACS/AMI/Hemodynamics and Pharmacology Presentation Number: 1242-149
- 2017 American College of Cardiology Foundation