Factors influencing prehospital delay for patients with acute myocardial infarction
- Author:
- No author available
- Journal Title:
- JOURNAL OF GERIATRIC CARDIOLOGY
- Issue:
- 1
- DOI:
- No doi available
- Key Word:
- acute myocardial infarction;emergency medical service;risk factor;prehospital delay time
Abstract： Objective To investigate the influencing factors for prehospital delay in patients with acute myocardial infarction (AMI).Methods A total of 807 consecutive patients with AMI who presented to the emergency department of Beijing Anzhen Hospital were analyzed. The influence of several potential risk factors on the prehospital delay time (PDT) was evaluated by comparing patients admitted more than 2 hours after onset of chese pain with those admitted within 2 hours after onset. Results Among 807 patients, 402 came to the hospital within 2 hours while the others arrived at the hospital after 2 hours. The median PDT was 130 min. Among the potential variables, advanced age, history of diabetes mellitus, occurrence of symptom at night and use of emergency medical service significantly affected PDT by multivariate analysis. Conclusion Interventions aimed at reducing the prehospital delay in AMI should primarily focus on the awareness of the risk and help-seeking behavior of patients.
- [1]于丽天,朱俊,Rebecca Mister,等.我国部分医院ST段抬高急性冠状动脉综合征再灌注治疗登记研究[J].2006,(7).
- [2]郭路芬,彭亚光,李庆祥,等.急性心肌梗死发病至就诊时间与预后的关系[J].2007,(1).
- [3]David C. Goff Jr,Henry A. Feldman,Paul G. McGovern,etc.Prehospital delay in patients hospitalized with heart attack symptoms in the United States: The REACT trial[J].1999,138(6).
- [4]D, Chiriboga,J, Yarzebski,R J, Goldberg,etc.Temporal trends (1975 through 1990) in the incidence and case-fatality rates of primary ventricular fibrillation complicating acute myocardial infarction. A communitywide perspective.[J].1994,89.
- [5]Goldberg RJ,Proschan MA,Simons Morton-DG,etc.Effect of a community intervention on patient delay and emergency medical service use in acute coronary heart disease: The Rapid Early Action for Coronary Treatment (REACT) Trial.[J].2000,284(1).
- [6]Rogers WJ,Shlipak MG,Ornato JP,etc.Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain.[J].2000,283(24).
- [7]Banka CL,Dolor RJ,Berra K,etc.Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update.[J].2007,115(11).
- [8]M H, Raitt,C, Maynard,G S, Wagner,etc.Relation between symptom duration before thrombolytic therapy and final myocardial infarct size.[J].1996,93.
- [9]Derek Y F, So,Andrew C T, Ha,Michele A, Turek,etc.Comparison of mortality patterns in patients with ST-elevation myocardial infarction arriving by emergency medical services versus self-transport (from the prospective Ottawa Hospital STEMI Registry).[J].2006,97(4).