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http://dx.doi.org/10.5762/KAIS.2013.14.2.707

Factors Associated with the Prehospital Delay in Acute Myocardial Infarction  

Choi, Kyu-Chul (Dept. of Health Science, Chonnam National University)
Choi, Sung-Soo (Dept. of Health Science, Chosun University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.2, 2013 , pp. 707-712 More about this Journal
Abstract
In patients with acute myocardial infarction (AMI), the delay from symptom onset to hospital arrival has a critical effect on morbidity and mortality. This study examined to find out the determinants of the prehospital delay in patients with AMI. The study sample consisted of 597 patients hospitalized with AMI between Jan and Dec 2009. Demographic, medical history, and clinical data were abstracted from the hospital medical records of patients with confirmed AMI, the prehospital delay was categorized as less than or greater than 6 hours. Older age, low socioeconomic status(medical aid), and low use of Emergency medical system were associated with delays in seeking emergency care for Acute myocardial infarction. Education programs to improve patient knowledge of acute coronary syndrome symptoms and promote patient responsiveness with regard to seeking medical care should be used to reduce the prehospital delay time, especially in the low socioeconomic group.
Keywords
Acute Myocardial Infarction; Prehospital Delay; Socioeconomic Status;
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1 C. W. Kim, S. Y. Lee, S. C. Hong, "A difference in utilization of cancer inpatient services by income class of residents in Jeju island" Korea J. of Health Policy & Administration, Vol.13, No.3, pp.104-128, 2003. DOI: http://dx.doi.org/10.4332/KJHPA.2003.13.3.104   과학기술학회마을   DOI   ScienceOn
2 R. Goldberg, et. al., "Age and sex differences in presentation of symptoms among patients with acute coronary disease : the REACT Trial. Rapid Early Action for coronary Treatment", Coron Artery Dis, Vol.11, No.5, pp.399-407, July, 2000. DOI: http://dx.doi.org/10.1097/00019501-200007000-00004   DOI
3 B. K. Nallamothu, et. al., "Times to tretment in transfer patients undergoing primary percutaneous coronary intervention in the United States: National Registry of Myocardial Infarction (NRMI)-3/4 analysis", Circulation, Vol.111, No.6, pp.761-767, February, 2005. DOI: http://dx.doi.org/10.1161/01.CIR.0000155258.44268.F8   DOI   ScienceOn
4 D. E. Newby, et. al., "Endothelial dysfunction, impaired endogenous fibrinolysis, and cigarette smoking: a mechanism for arterial thrombosis and myocardial infarction", Circulation, Vol.99, No.11, pp.1411-1415, March, 1999. DOI: http://dx.doi.org/10.1161/01.CIR.99.11.1411   DOI   ScienceOn
5 M. Kentsch, et. al., "Emotional attitudes toward symptoms and inadequate coping strategies are major determinants of patient delay in acute myocardial infarction", Z Kardiol, Vol.91, No.2, pp.147-55, February, 2002. DOI: http://dx.doi.org/10.1007/s003920200004   DOI   ScienceOn
6 R. J. Goldberg, et al., "Extent of, and factors associated with delay to hospital presentation in patients with acute coronary disease(the GRACE registry)", Am J Cardiol, Vol.89, No.7, pp.791-196, April, 2002. DOI: http://dx.doi.org/10.1016/S0002-9149(02)02186-0   DOI   ScienceOn
7 Korea National Statistical Office, Annual report on the cause of death statistics 2009, 2010.
8 Organisation for Economic Co-operation and Development (OECD), Health at a Glance 2009, Paris, OECD, 2009.
9 P. Goldstein, E. Wiel, "Management of prehospital thrombolytic therapy in ST-segment elevation acute coronary syndrome(<12hours)", Minerva Anestesiologica, Vol.71, No.6, pp.297-302, June, 2005.
10 A. Roth, et. al., "Time-consuming procedures and prehospital thrombolytic treatment", Crit Care Med, Vol.21, No.3, pp.374-379, March, 1993. DOI: http://dx.doi.org/10.1097/00003246-199303000-00014   DOI   ScienceOn
11 M. H. Jeong, "Can time delay be shortened in the treatment of acute myocardial infarction? -Experience from Korea acute myocardial infarction registry". Korean J Med, Vol.78, No.5, pp.582-585, May, 2010.   과학기술학회마을
12 B. S. Yoo, et. al., "Reasons of not receiving reperfusion therapy in acute myocardial infarction", Korean J Med, Vol.48, No.6, pp.783-789, 1995.
13 F. M. Khraim, M. G. Carey, "Predictors of pre-hospital delay among patients with acute myocardial infarction", Patient Educ Couns, Vol.75, No.2, pp.155-161, May, 2009. DOI: http://dx.doi.org/10.1016/j.pec.2008.09.019   DOI   ScienceOn
14 R. E. O'Connor, et al., "Part 10: acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care", Circulation, Vol.122, No.2 pp.787-817, November, 2010. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.110.985549   DOI   ScienceOn
15 J. H. Lee, et. al., "The Effect of symptom Recognition on Pre-hospital Delay in Patients with Acute Coronary Syndrome", J Korean Soc Emerg Med, Vol.21, No.1, pp.9-18, Number, 2010.
16 S. McKinley, et. al., "International comparison of factors associated with delay in presentation for AMI treatment", Eur J Cardiovasc Nurs, Vol.3, No.3, pp.225-230, Septermber, 2004. DOI: http://dx.doi.org/10.1016/j.ejcnurse.2004.06.004   DOI   ScienceOn
17 A. P. McGinn, et. al., "Trends in prehospital delay time and use of emergency medical services for acute myocardial infarction: experience in 4 US communities from 1987-2000", Am Heart J, Vol.150, No.3, pp.392-400, September, 2005. DOI: http://dx.doi.org/10.1016/j.ahj.2005.03.064   DOI   ScienceOn