Escore para priorização de atendimentos cardiológicos eletivos (EPACE): ferramenta para estratificação de risco e gestão de prioridades a nível ambulatorial

Abstract

Cardiovascular diseases follow the man since ancient times. But, it was only in modern society that they have become the main cause of mortality worldwide. Maintaining health is the central axis to guarantee the right to life, defined as fundamental right by Brazilian Constitution. So, to develop a specific tool for the patient care at higher risk related to these diseases contributes to guarantee this fundamental right in practice. In addition, cardiovascular diseases are responsible for negative impacts on the economy, by both service costs and the potential to disable a portion of the working age population. Due to these characteristics, public health strategies have been developed for its prevention and early treatment. This study aimed to create and evaluate the efficiency of a score for stratification of patients waiting for elective outpatient cardiology, for identifying those at greatest risk situation. The SPECC was applied in an outpatient cardiology at Hospital de Clinicas, UFPR, with promising initial results. Result of its application showed excellent sensitivity/specificity in identifying patients at high risk for cardiovascular events, for whom outpatient care should be prioritized, thus, reducing the possibility for future cardiovascular events. However, for a complete validation, it should be tested in a larger patient population.