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Percepción y uso del Segment Involvement Score por parte del cardiólogo clínico en la prevención cardiovascular basada en el reporte del hemodinamista: un estudio piloto

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datacite.rightshttp://purl.org/coar/access_right/c_f1cf
dc.contributor.advisorCadena Bonfanti, Alberto
dc.contributor.advisorGonzález-Torres, Henry Joseth
dc.contributor.authorHernández Herrera, Johon Santander
dc.date.accessioned2025-02-04T21:02:55Z
dc.date.available2025-02-04T21:02:55Z
dc.date.issued2025
dc.description.abstractLa arterioesclerosis es una enfermedad prevalente y una de las principales causas de eventos cardiovasculares. Herramientas como el Segment Involvement Score (SIS) ofrecen una alternativa para la evaluación de la carga de placa coronaria y el inicio de prevención cardiovascular, complementando los métodos tradicionales. Objetivo: Evaluar la sensibilidad de los hemodinamistas a reportar lesiones no obstructivas y los médicos a realizar tratamiento y modificación de la conducta terapéutica del cardiólogo de acuerdo con una adaptación del puntaje de participación de segmento (Segment Involvement Score – SIS) para ser aplicado en hemodinamia en pacientes con arterioesclerosis atendidos en Barranquilla (Atl, CO) en el 2023. Métodos: El estudio, de tipo cuali-cuantitativo, evaluó la conducta terapéutica de 57 especialistas en Colombia frente al uso del Segment Involvement Score (SIS). Se recolectaron datos mediante entrevistas, cuestionarios y casos clínicos simulados, organizados en una base de datos. El análisis se enfocó en características profesionales, percepción del SIS y concordancia en decisiones clínicas con y sin SIS. El estudio fue aprobado por el Comité de Ética bajo la normativa colombiana. Resultados: Este estudio evaluó cómo el uso del Segment Involvement Score (SIS) influye en la conducta terapéutica de 57 especialistas en arterioesclerosis. Los cardiólogos mostraron mayor experiencia (>10 años) y mayor uso del Score de Calcio (70%, p=0.04) que los internistas, aunque el conocimiento del SIS fue limitado en ambas especialidades (35% vs 25%, p=0.92). Si bien la utilidad percibida del reporte de Placas No Obstructivas (PLN) fue alta (95%), el traslado a escalas de riesgo cardiovascular fue bajo, especialmente entre hemodinamistas (33%). El SIS no impactó significativamente en las decisiones terapéuticas, subrayando la necesidad de formación y protocolos específicos para su adopción clínica.spa
dc.description.abstractAtherosclerosis is a prevalent disease and one of the leading causes of cardiovascular events. Tools such as the Segment Involvement Score (SIS) provide a more detailed assessment of coronary plaque burden, complementing traditional methods. Objective: To evaluate the modification of cardiologists' therapeutic behavior based on the Segment Involvement Score (SIS) in patients with atherosclerosis treated in Barranquilla (Atl, CO) in 2023. Methods: This observational, analytical, qualitative study assessed the therapeutic behavior of 57 specialists in Colombia regarding the use of the Segment Involvement Score (SIS). Data were collected through interviews, questionnaires, and simulated clinical cases, organized into a digital database, and analyzed statistically. The analysis focused on professional characteristics, perception of the SIS, and concordance in clinical decisions with and without SIS. The study was approved by the Ethics Committee under Colombian regulations. Results: This study evaluated how the use of the Segment Involvement Score (SIS) influences the therapeutic behavior of 57 specialists in atherosclerosis. Cardiologists showed greater experience (>10 years) and higher use of the Calcium Score (70%, p=0.04) compared to internists, although knowledge of the SIS was limited in both specialties (35% vs. 25%, p=0.92). While the perceived usefulness of the Non-Obstructive Plaque (NOP) report was high (95%), the translation into cardiovascular risk scales was low, especially among interventional cardiologists (33%). The SIS did not significantly impact therapeutic decisions, underscoring the need for training and specific protocols for its clinical adoption.eng
dc.format.mimetypepdf
dc.identifier.urihttps://hdl.handle.net/20.500.12442/16211
dc.language.isospa
dc.publisherEdiciones Universidad Simón Bolívarspa
dc.publisherFacultad de Ciencias de la Saludspa
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United Stateseng
dc.rights.accessrightsinfo:eu-repo/semantics/embargoedAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectArterioesclerosisspa
dc.subjectAngiografía coronariaspa
dc.subjectEvaluación de riesgospa
dc.subjectToma de decisiones clínicasspa
dc.subjectConocimientosspa
dc.subjectActitudesspa
dc.subjectPráctica en saludspa
dc.subject.keywordsAtherosclerosiseng
dc.subject.keywordsCoronary angiographyeng
dc.subject.keywordsRisk assessmenteng
dc.subject.keywordsClinical Decision- Makingeng
dc.subject.keywordsHealth knowledgeeng
dc.subject.keywordsAttitudeseng
dc.subject.keywordsPracticeeng
dc.titlePercepción y uso del Segment Involvement Score por parte del cardiólogo clínico en la prevención cardiovascular basada en el reporte del hemodinamista: un estudio pilotospa
dc.type.driverinfo:eu-repo/semantics/other
dc.type.spaOtros
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oaire.versioninfo:eu-repo/semantics/acceptedVersion
sb.programaEspecialización en Cardiologíaspa
sb.sedeSede Barranquillaspa

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