Half of coronary patients are not instructed how to respond to symptoms of a heart attack

Jankowski, Piotr; Bednarek, Agnieszka; Surowiec, Sławomir; Loster, Magdalena; Pająk, Andrzej; Kawecka‐Jaszcz, Kalina

doi:10.5603/cj.2011.0031

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…While there is a relative scarcity of empirical evidence to support and evaluate the impact of individualized interventions, it has been suggested that an individualized approach to teaching is well suited to those at greatest risk of symptom development [57][58][59][60]. With respect to ACS, individualized education was the means by which the interventions that reported successful outcomes targeted patient education [7,8,14,18,19].…”

Section: The Delivery Mechanismmentioning

confidence: 99%

Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial

O’Brien

McKee

Mooney

et al. 2014

Patient Education and Counseling

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CitationImproving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial. Methods: This multi-site, randomized controlled trial was conducted on 1947 patients with a diagnosis of ACS. Both groups received usual in-hospital education.Participants randomized to the intervention group received a 40-minute one to one individualized education session, delivered using motivational interviewing techniques. The intervention was reinforced one month and six months later.Knowledge, attitudes and beliefs were measured using the ACS Response Index. A total of 1,136 patients (control, n=551; intervention, n=585) completed the questionnaire at baseline, 3 and 12 months. Data were analysed using repeated measures analysis of variance. Ethical approval was obtained. Results:There was a significant effect of the intervention on mean knowledge (p<0.001), attitude (p=0.003) and belief (p<0.001) scores at 3 and 12 months. Conclusion:Ensuring patients retain information post education has always been difficult to attain. This study demonstrated that patient education using motivational interviewing techniques and an individualized approach has the potential to alter knowledge, attitudes and beliefs about ACS among a high risk population.Practice Implications: This relatively short, simple and effective educational intervention could be delivered by nurses in multiple settings.

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Section: The Delivery Mechanismmentioning

confidence: 99%

Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial

O’Brien

McKee

Mooney

et al. 2014

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…Previous studies have reported that prehospital delay can often last for hours or days, which is considered significantly long (Darawad et al, 2016; Jankowski et al, 2011). Numerous studies conducted prior to the COVID-19 pandemic reported an average delay time of a few hours before the arrival of the patient at the ED (Coventry et al, 2015; Van Severen et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Time to Seek Care and Hospital Length of Stay Among Older Adults With Acute Coronary Syndrome During the COVID-19 Pandemic

2021

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The prevalence of prehospital delay is high among older adults with acute coronary syndrome (ACS). The current study aimed to examine the associated factors of prehospital delay among patients with ACS during the COVID-19 pandemic. This cross-sectional study was conducted on a convenience sample of 300 older adults with ACS admitted to the emergency department in Jordan. Data were collected from June 1 to September 1, 2020. Bivariate and multivariate analyses were used to explore the predictors of prehospital delay. Being widowed, educational level, pain intensity, the gradual onset of ACS symptoms, symptoms lasting for more than 30 minutes, patients’ feeling anxious about their ACS symptoms, patients’ perceiving their symptoms to be particularly dangerous, history of myocardial infarction (MI), and mode of transportation were associated with the time taken before seeking emergency care. Significant predictors of time to seek help were chief complaint of chest pain or palpitations, abrupt onset of symptoms, the associated symptom of vertigo, and a higher number of chronic illnesses; they explained about 17.9% of the variance in the time to seek care. The average time to seek care among patients with ACS during the COVID-19 pandemic was found to be longer than the average time reported by studies conducted prior the pandemic. Improved understanding of the associations between prehospital delay is crucial for optimal ACS patient outcomes under the impacts of the COVID-19 pandemic.

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“…A recent study showed that as much as half of coronary patients are not instructed on how to respond to symptoms of a heart attack. 29 …”

Section: Discussionmentioning

confidence: 99%

Pain-to-hospital times, cardiovascular risk factors, and early intrahospital mortality in patients with acute myocardial infarction

Brković¹,

Novak²,

Puljak³

2015

TCRM

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BackgroundThe aim of the study was to analyze the most recent trends in myocardial infarction (MI) care, the number of patients treated for MI and their outcomes, cardiovascular disease risk factors, and pain-to-hospital times in MI patients.Subjects and methodsFor 778 patients treated for acute MI at the Coronary Care Unit (CCU) of University Hospital Split, Croatia the following data were acquired: outcome during hospitalization (survived, deceased), cardiovascular risk factors (hypertension, diabetes, dyslipidemia, previous MI, smoking), and pain-to-CCU time.ResultsAmong 778 patients treated for acute MI, there were 291 (37%) women and 487 (63%) men. Forty-five patients (6%) died during hospitalization, mostly due to cardiogenic shock. An association was found between early intrahospital mortality and the following risk factors: age >70 years, female sex, previous MI, and smoking. Median pain-to-call time was 2 hours, and median time from the onset of pain to arrival into the CCU was 4 hours. There were 59 (7.6%) patients admitted to the CCU within recommended 90 minutes. Diabetic comorbidity was not associated with early death or with longer time from pain to emergency calls.ConclusionSome of the risk factors associated with adverse outcomes in MI are modifiable. Prehospital delay of 4 hours observed in patients who suffered an MI is too long, and more effort should be devoted to investments in health care and education of the general public regarding chest pain symptoms.

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Half of coronary patients are not instructed how to respond to symptoms of a heart attack

Cited by 9 publications

References 19 publications

Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial

Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial

Time to Seek Care and Hospital Length of Stay Among Older Adults With Acute Coronary Syndrome During the COVID-19 Pandemic

Pain-to-hospital times, cardiovascular risk factors, and early intrahospital mortality in patients with acute myocardial infarction

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