ABC | Volume 113, Nº2, August 2019

Original Article Lima et al The VICTIM register- Intra-hospital counseling Arq Bras Cardiol. 2019; 113(2):260-269 Table 1 – Sociodemographic characteristics of patients with STEMI receiving care at hospitals in Sergipe, based on the type of service (Public vs. Private) Variables Total (188) Public (151) Private (37) p value Age, years (Mean ± SD) 61.5 ± 11.7 61.3 ± 11.7 62.5 ± 11.7 0.798 T Male sex, n (%) 126 (67.0) 98 (64.9) 28 (75.7) 0.246 Q Ethnicity, n (%) White 70 (37.2) 48 (31.8) 22 (59.5) 0.002 Q Nonwhite 118 (62.8) 103 (68.2) 15 (40.5) Social class, n (%)* A/B 11 (6.0) 2 (1.4) 9 (25.7) < 0.001 Q C 30 (16.5) 15 (10.2) 15 (42.9) D/E 141 (77.5) 130 (88.4) 11 (31.4) Level of education, n (%) Elementary school or less 130 (69.1) 122 (80.8) 8 (21.6) < 0.001 Q High school 38 (20.2) 20 (13.2) 18 (48.6) Higher education or graduation 20 (10.6) 9 (6.0) 11 (29.7) Marital status, n (%) Single 12 (6.4) 10 (6.6) 2 (5.4) 1.000 Q Married/Living with a partner 129 (68.6) 103 (68.2) 26 (70.3) Divorced/Widower 47 (25.0) 38 (25.2) 9 (24.3) SD: standard deviation; (*) Social classification (IBGE, 2010) according to family income: A- Above 20 minimum wages, B- 10 to 20 minimum wages, C- 4 to 10 minimum wages, D- 2 to 4 minimum wages, E- Up to 2 minimum wages; T-Test T for independent samples; Q- Chi-square test. Results A total of 188 patients was analyzed, 80.3% received care in the public service and 19.7% in the private health service, in the state of Sergipe. Demographic characteristics The patients who received care in the public service – the Unified Health System (Sistema Único de Saúde [SUS]) showed a predominance of non-white ethnicity, lower social class, with prevalence of the two lowest socioeconomic classes, and lower level of education (Table 1). Clinical characteristics Both groups, who received care in the two health services showed similar clinical characteristics, except for the smoking risk factor, in which the patients who received care in the SUS facility presented a significantly higher smoking rate (35.1% vs. 13.5%, p = 0.010). With regards to the previous history of AMI, patients who received care in the private health service presented a higher prevalence (Table 2). Intra-hospital nutritional counseling Based on the total sample, telephone contact with the patients occurred within five days (IIQ 3-6 days); when analyzed, for the patients from SUS, the median was 4 days (IIQ 4-6 days), and for those in the private service, it was five days (IIQ 3-6 days). Although most patients reported having received in-hospital nutritional counseling, this was documented in the records of only 9.6% of the patients. Overall, according to the patient reports, the physician was the health professional who provided the most information about diet (85.8%) (Table 3). Compared with the SUS, a larger contingent of patients from the private service reported having received verbal and written nutritional counseling. Regarding the professional who provided this information, the nutritionist was mentioned significantly more by the private service patients (50% vs. 11.5%, p < 0.001). In the private service, more documentation of nutritional orientation occurred in the patient records (37.8% vs 2.6%, p < 0.001), and more patients had nutritional counseling prior to hospitalization (64.9 % vs. 33.8%, p < 0.001) (Table 3). Types of self-reported intra-hospital nutritional counseling When compared to the SUS, more patients from the private servicementioned receiving guidelines on restriction of: sausages (p < 0.001); refined carbohydrates (p = 0.008); alcoholic beverages (p=0.002). More alsomentioned the introduction of: skimmedmilk and dairy products (p=0.01); grilled and steamed cooking preparations (p < 0.001); fish (p < 0.001); extra virgin olive oil (p = 0.035); fruits and vegetables (p < 0.001); and, whole grains and fiber (p = 0.001) (Figure 1). In both health services, there was a predominance of restrictive of salty and salty foods, and of fats and fries with a prevalence of 52.3% and 70.3% in public and private, respectively (p = 0.064) (Figure 1). 262