A nation-wide survey of 527 Mexican hospitals revealed insufficient competence to diagnose AMI (37-51%) and perform pharmacological (8.7-26.8%) or mechanical reperfusion (2.8-17.9%).
Cross-Sectional (n=527)
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There are significant gaps in the capacity of Mexican Ministry of Health hospitals to diagnose and treat acute myocardial infarction, highlighting a critical need for improved healthcare infrastructure and training.
OBJECTIVE: To analyze acute myocardial infarction (AMI) admissions and in-hospital mortality rates and evaluate the competence of the Ministry of Health (MOH) hospitals to provide AMI treatment. MATERIALS AND METHODS: We used a mixed-methods approach: 1) Joinpoint analysis of hos-pitalizations and in-hospital mortality trends between 2005 and 2017; 2) a nation-wide cross-sectional MOH hospital survey. RESULTS: AMI hospitalizations are increasing among men and patients aged >60 years; women have higher mortal-ity rates. The survey included 527 hospitals (2nd level =471; 3rdlevel =56). We identified insufficient competence to diagnose AMI (2nd level 37%, 3rd level 51%), perform pharmacological perfusion (2nd level 8.7%, 3rd level 26.8%), and mechanical reperfusion (2nd level 2.8%, 3rd level 17.9%). CONCLUSIONS: There are wide disparities in demand, supply, and health outcomes of AMI in Mexico. It is advisable to build up the competence with gender and age perspectives in order to di-agnose and manage AMI and reduce AMI mortality effectively.
Pérez‐Cuevas et al. (Thu,) conducted a cross-sectional in Acute myocardial infarction (n=527). Hospital competence for AMI treatment was evaluated on Competence to diagnose AMI, perform pharmacological perfusion, and mechanical reperfusion. A nation-wide survey of 527 Mexican hospitals revealed insufficient competence to diagnose AMI (37-51%) and perform pharmacological (8.7-26.8%) or mechanical reperfusion (2.8-17.9%).