Browse > Article
http://dx.doi.org/10.4040/jkan.2016.46.6.804

Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction  

Ahn, Hye Mi (Department of Preventive Medicine, School of Medicine, Konkuk University)
Kim, Hyeongsu (Department of Preventive Medicine, School of Medicine, Konkuk University)
Lee, Kun Sei (Department of Preventive Medicine, School of Medicine, Konkuk University)
Lee, Jung Hyun (Department of Preventive Medicine, School of Medicine, Konkuk University)
Jeong, Hyo Seon (Department of Preventive Medicine, School of Medicine, Konkuk University)
Chang, Soung Hoon (Department of Preventive Medicine, School of Medicine, Konkuk University)
Lee, Kyeong Ryong (Department of Emergency Medicine, School of Medicine, Konkuk University)
Kim, Sung Hea (Department of Internal Medicine, School of Medicine, Konkuk University)
Shin, Eun Young (Department of Public Health Administration, Hanyang Women's University)
Publication Information
Journal of Korean Academy of Nursing / v.46, no.6, 2016 , pp. 804-812 More about this Journal
Abstract
Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour. Results: After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation. Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center directly should be implemented for patients and/or caregivers.
Keywords
Myocardial infarction; Symptoms; Emergency medical services;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Lee JH, Jeong MH, Rhee JA, Choi JS, Park IH, Chai LS, et al. Factors influencing delay in symptom-to-door time in patients with acute ST-segment elevation myocardial infarction. Korean Journal of Medicine. 2014;87(4):429-438. http://dx.doi.org/10.3904/kjm.2014.87.4.429   DOI
2 Yeungnam University Health Care Service Support Center. Development of 2nd phase comprehensive management plan for cardioand cerebrovascular diseases (2011-2015). Seoul: Korea Health Promotion Foundation, 2010. Report No.: Policy 10-22.
3 Cheskes S, Turner L, Foggett R, Huiskamp M, Popov D, Thomson S, et al. Paramedic contact to balloon in less than 90 minutes: A successful strategy for st-segment elevation myocardial infarction bypass to primary percutaneous coronary intervention in a canadian emergency medical system. Prehospital Emergency Care. 2011; 15(4):490-498. http://dx.doi.org/10.3109/10903127.2011.598613   DOI
4 Korea Health Industry Development Institute. Emergency medical basic planning and emergency medical operating systems evaluation. Seoul: Author, 2005.
5 Goldberg RJ, Yarzebski J, Lessard D, Gore JM. Decade-long trends and factors associated with time to hospital presentation in patients with acute myocardial infarction: The Worcester Heart Attack study. Archives of Internal Medicine. 2000;160(21):3217- 3223. http://dx.doi.org/10.1001/archinte.160.21.3217   DOI
6 De Luca G, Suryapranata H, Ottervanger JP, Antman EM. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: Every minute of delay counts. Circulation. 2004;109(10):1223-1225. http://dx.doi.org/10.1161/01.cir.0000121424.76486.20   DOI
7 Banks AD, Dracup K. Factors associated with prolonged prehospital delay of African Americans with acute myocardial infarction. American Journal of Critical Care. 2006;15(2):149-157.
8 Carney R, Fitzsimons D, Dempster M. Why people experiencing acute myocardial infarction delay seeking medical assistance. European Journal of Cardiovascular Nursing. 2002;1(4):237-242. http://dx.doi.org/10.1016/S1474-5151(02)00049-X   DOI
9 Ministry for Health WaFA, Gachon University of Medicine and Science. Analysing of emergency medical service and the support strategies for remote-isolated area. Seoul: National Emergency Medical Center, 2007.
10 Horne R, James D, Petrie K, Weinman J, Vincent R. Patients' interpretation of symptoms as a cause of delay in reaching hospital during acute myocardial infarction. Heart. 2000;83(4):388-393. http://dx.doi.org/10.1136/heart.83.4.388   DOI
11 Ministry of Health & Welfare, Korea Health Promotion Foundation. Health plan 2020, 2016-2020. Sejong: Author, 2015.
12 Lee JH, Sohn JD, Kim SW, Chung TN, Park YS, Park IC. The effect of symptom recognition on pre-hospital delay in patients with acute coronary syndrome. Journal of the Korean Society of Emergency Medicine. 2010;21(1):9-18.
13 Lee MW, Kim KS, Kim YJ, Cho IS, Kim TY, Rhee JE, et al. Delays in reperfusion of patients with ST elevation myocardial infarction: According to mode of transportation and arrival time. Journal of the Korean Society of Emergency Medicine. 2010;21(1):1-8.
14 Johansson I, Stromberg A, Swahn E. Factors related to delay times in patients with suspected acute myocardial infarction. Heart and Lung. 2004;33(5):291-300. http://dx.doi.org/10.1016/j.hrtlng.2004.04.002   DOI
15 Meischke H, Ho MT, Eisenberg MS, Schaeffer SM, Larsen MP. Reasons patients with chest pain delay or do not call 911. Annals of Emergency Medicine. 1995;25(2):193-197. http://dx.doi.org/10.1016/S0196-0644(95)70323-3   DOI
16 Solomon SD, Zelenkofske S, McMurray JJ, Finn PV, Velazquez E, Ertl G, et al. Sudden death in patients with myocardial infarction and left ventricular dysfunction, heart failure, or both. The New England Journal of Medicine. 2005;352(25):2581-2588. http://dx.doi.org/10.1056/NEJMoa043938   DOI
17 McKinley S, Moser DK, Dracup K. Treatment-seeking behavior for acute myocardial infarction symptoms in North America and Australia. Heart and Lung. 2000;29(4):237-247. http://dx.doi.org/10.1067/mhl.2000.106940   DOI
18 Gim D. Analysis of changes to equality in health and medical service utilization by income levels. Journal of Institute for Social Sciences. 2012;23(3):105-125.
19 Statistics Korea. 2013 annual report on the cause of death statistics [Internet]. Daejeon: Author; 2014 [cited 2016 January 20]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=A.
20 Goldstein P, Wiel E. Management of prehospital thrombolytic therapy in ST-segment elevation acute coronary syndrome (<12 hours). Minerva Anestesiologica. 2005;71(6):297-302.
21 Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2015 ACC/AHA/SCAI Focused update on primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction: An update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: A report of the American college of cardiology/American heart association task force on clinical practice guidelines and the society for cardiovascular angiography and interventions. Circulation. 2016;133(11):1135-1147. http://dx.doi.org/10.1161/cir.0000000000000336   DOI
22 Cannon CP, Gibson CM, Lambrew CT, Shoultz DA, Levy D, French WJ, et al. Relationship of symptom-onset-to-balloon time and door-to-balloon time with mortality in patients undergoing angioplasty for acute myocardial infarction. JAMA: Journal of the American Medical Association. 2000;283(22):2941-2947. http://dx.doi.org/10.1001/jama.283.22.2941   DOI
23 Zijlstra F, Patel A, Jones M, Grines CL, Ellis S, Garcia E, et al. Clinical characteristics and outcome of patients with early (<2 h), intermediate (2-4 h) and late (>4 h) presentation treated by primary coronary angioplasty or thrombolytic therapy for acute myocardial infarction. European Heart Journal. 2002;23(7):550-557. http://dx.doi.org/10.1053/euhj.2001.2901   DOI
24 Boersma E, Maas AC, Deckers JW, Simoons ML. Early thrombolytic treatment in acute myocardial infarction: Reappraisal of the golden hour. Lancet. 1996;348(9030):771-775. http://dx.doi.org/10.1016/s0140-6736(96)02514-7   DOI
25 Lee JS, Lee J, Kang J, Ko Y, Park JM, Park TH, et al. Prognostic modeling for an efficacy and a safety of thrombolysis in acute ischemic stroke. Journal of the Korean Neurological Association. 2012;30(2):100-109.
26 Goldberg RJ, Steg PG, Sadiq I, Granger CB, Jackson EA, Budaj A, et al. Extent of, and factors associated with, delay to hospital presentation in patients with acute coronary disease (the GRACE registry). The American Journal of Cardiology. 2002;89(7):791-796. http://dx.doi.org/10.1016/S0002-9149(02)02186-0   DOI
27 McKinley S, Dracup K, Moser DK, Ball C, Yamasaki K, Kim CJ, et al. International comparison of factors associated with delay in presentation for AMI treatment. European Journal of Cardiovascular Nursing. 2004;3(3):225-230. http://dx.doi.org/10.1016/j.ejcnurse.2004.06.004   DOI
28 Health Insurance Review & Assessment Service. 2013 evaluation result of acute myocardial infarction [Internet]. Seoul: Author; 2013 [cited 2016 February 16]. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=294566.
29 Choi HK. Time delay and factors in patient with acute myocardial infarction. Annual Bulletin Seoul Health College. 1998;18:67-81.
30 An K. Pre-hospital delay in treatment after acute myocardial infarction. Journal of Korean Academy of Nursing. 2001;31(7): 1141-1150.   DOI
31 Song YB, Hahn JY, Gwon HC, Kim JH, Lee SH, Jeong MH. The impact of initial treatment delay using primary angioplasty on mortality among patients with acute myocardial infarction: From the Korea acute myocardial infarction registry. Journal of Korean Medical Science. 2008;23(3):357-364. http://dx.doi.org/10.3346/jkms.2008.23.3.357   DOI