Predictors of ambulance use in patients with acute myocardial infarction in Australia

Kerr, Debra; Holden, Devin N.; Smith, James W.; Kelly, Anne‐Maree; Bunker, Stephen

doi:10.1136/emj.2006.038414

Cited by 41 publications

(39 citation statements)

References 21 publications

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“…In this study, MI patients who have a higher income were more likely to call the EMS, indicating that the ablity to pay for ambulance service may influence EMS usage. This finding disagrees with those of Siepmann et al 17 and Kerr et al 13 who reported that patients with lower income were more likely to use the EMS. Differences of these observed results between the present and other studies, may involve cultural and environmental issues in different countries.…”

Section: Discussioncontrasting

confidence: 97%

Use of Emergency Medical Services in Patients with Acute Myocardial Infarction in China

Zhang

Wang

et al. 2009

Clinical Cardiology

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Background: Although guidelines strongly recommend use of the Emergency Medical Systems (EMS) by patients with acute myocardial infarction (AMI), it remains underutilized in western countries. Information about its current use in China is unclear. The objective of this study was to examine the use of the EMS by patients with AMI in China, and investigate factors affecting its use. Methods: A prospective survey study, which included 803 patients with AMI who were admitted to 21 hospitals in China between November 1, 2005 and December 31, 2006. Results: Only 39.5% of patients called up the EMS at the onset of symptoms (EMS group, n = 317), whereas the rest presented to the hospital by some other means (self-transport group, n = 486, 60.5%). Predictors of EMS users were older age, symptom onset at evening, unbearable symptoms, having received training and acquired knowledge on heart attack, as well as having a higher income and medical history of heart failure or stroke. Prehospital delay (median 110 min vs. 143 min, p < 0.001), door to needle time (median 85 min vs. 93 min, p < 0.005) and door-to-balloon time (median 118 min vs. 160 min, p < 0.001) were significantly shorter in the EMS group. The early reperfusion rate was also significantly higher in the EMS group (84.8% vs. 78.2%, p = 0.019), mainly because of a greater incidence of primary percutaneous coronary intervention (68.1% vs. 61.7%, p = 0.046). Conclusions:The emergency medical services are underutilized by patients with AMI in China. Use of the EMS may be advantageous in view of greater administration of reperfusion therapy. New public health strategies should be developed to facilitate greater use of the EMS for AMI.

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Section: Discussioncontrasting

confidence: 97%

Use of Emergency Medical Services in Patients with Acute Myocardial Infarction in China

Zhang

Wang

et al. 2009

Clinical Cardiology

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“…In the study made in Australia by Clark et al in 1999, they found that in persons 65 years of age and older, being married decreased to a significant extent the use of an ambulance (PR=0.69) (11). In the 115 study made in Australia by Kerr et al in which they evaluated the situations of coming to the hospital with an ambulance of all age group patients who had had a heart attack, it was found that 59% of the married patients came to the hospital with an ambulance (16). This difference can be explained with societal understanding.…”

Section: Discussionmentioning

confidence: 99%

The Use of Quick Sofa (Qsofa) in Elderly Patients with Sepsis in the Intensive Care Unit

Geyik¹

2018

tjgeri

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Introduction:This study was prepared with the objective of determining the ratio of use of ambulances by the patients 65 years of age and older who applied to emergency department and the indicators for the use of ambulances.Materials and Method: This cross-sectional research study, enrolled patients at least 65 years of age or older, who applied to the emergency department in Izmir Dokuz Eylül University Hospital. Two measurement tools were prepared with the objective of gathering the study data. The first measuring tool was prepared with the objective of evaluating the indicators of ambulance use by the patients, whereas the second measuring tool was for the situations of using emergency department.Results: 555 patients were included in the study. Only 34.2% of these patients reported that they came to the emergency department with an ambulance. It was observed that patients living with their families, and those with medical emergencies, i.e. who did not experience a trauma or an accident, used ambulances less frequently for going to the emergency department (p<0.05). Among patients who came to the emergency department with private vehicles, 59.2% stated that they did not call an ambulance because they thought that it would be quicker to come with their own resources. On the other hand, among patients who came to the hospital with an ambulance, a ratio of 67.4% replied that they called the ambulance because of emergency. Conclusion:The results of this study suggest that public awareness about 112 ambulance systems should be increased, especially for elderly patients.Keywords: Geriatrics; Ambulance; Emergency Medical Services; Emergency Service, Hospital Giriş: Bu çalışma acil servise başvuran 65 yaş ve üzeri hastaların ambulans kullanım oranını ve ambulans kullanım belirleyicilerini saptamak amacıyla hazırlanmıştır.Gereç Yöntem: Kesitsel tipte planlanan bu araştırmanın evrenini, İzmir Dokuz Eylül Üniversitesi Hastanesi'nin acil servis birimine başvuran 65 yaş ve üstü hastalar oluşturmuştur. Çalışmanın verilerini toplamak amacı ile iki adet ölçme aracı hazırlanmıştır. Birinci ölçme aracı hastaların ambulans kullanım belirleyicilerini, ikinci ölçme aracı ise AS kullanım durumlarını değerlendirmek amacıyla hazırlanmıştır.Bulgular: Araştırmaya 555 hasta alınmıştır. Çalışmaya alınan hastaların %34.2'sinin acil servise ambulans ile geldiği bulunmuştur. Ambulans ile gelen hastalar ise, %67.4 oranında acil durum nedeni ile ambulansı aradıkları yanıtını vermiştir. Ailesi ile birlikte yaşayan ve nontravmatik hastaların, acil servise ulaşmak için daha az sıklıkta ambulans kullandığı görülmüştür (p<0.05). AS birimine özel araç ile gelen hastaların %59.2'lik kısmı, kendi olanaklarıyla gelmenin daha çabuk olacağını düşündükleri için ambulans aramadıklarını belirtmiştir.Sonuç: Bu çalışma özellikle yaşlı hastalarda 112 Ambulans sistemi hakkında halkın bilinçlendirilmesi gerektiğini ortaya koymaktadır.

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“…Several studies have shown that ambulance use may lead to greater and/or faster administration of early reperfusion therapy [13,14]. Regrettably, previous studies [15][16][17] indicated that almost half of AMI patients arrived at the hospital by other means than an ambulance. Factors associated with the care-seeking behaviors (prehospital delay and ambulance use) among AMI patients have been extensively explored.…”

Section: Introductionmentioning

confidence: 99%

The association between pre-infarction angina and care-seeking behaviors and its effects on early reperfusion rates for acute myocardial infarction

Yan

Song

Yang

et al. 2009

International Journal of Cardiology

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Predictors of ambulance use in patients with acute myocardial infarction in Australia

Cited by 41 publications

References 21 publications

Use of Emergency Medical Services in Patients with Acute Myocardial Infarction in China

Use of Emergency Medical Services in Patients with Acute Myocardial Infarction in China

The Use of Quick Sofa (Qsofa) in Elderly Patients with Sepsis in the Intensive Care Unit

The association between pre-infarction angina and care-seeking behaviors and its effects on early reperfusion rates for acute myocardial infarction

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