Predictors of in-hospital delay to reperfusion in patients with acute myocardial infarction in Japan

Fukuoka, Yoshimi; Dracup, Kathleen; Ohno, Masasuke; Kobayashi, Fumio; Hanawa, Haruo

doi:10.1016/j.jemermed.2005.12.019

Cited by 11 publications

(8 citation statements)

References 19 publications

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“…The association between EMS use and better processes of care observed here is consistent with prior * Odds ratios for outcome with EMS vs. No EMS; adjusted for age, gender, heart rate and blood pressure on presentation, Killip classification, presence of chest pain, and type of acute coronary syndrome. literature, and should encourage developing and improving the infrastructure for EMS in the region (2)(3)(4)(5)(6)(7). Whether health care providers in the Middle East instruct patients to use EMS when they experience symptoms of a heart attack is unknown, but the observation that prior myocardial infarction and coronary intervention were associated with a lower likelihood of using EMS would suggest that such instruction is lacking.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately one-half of the deaths attributed to ACS occur in the prehospital setting. has been shown to reduce delay in accessing definitive care (2)(3)(4)(5)(6)(7). Extension of care for ACS patients to the pre-hospital setting by EMS provides an opportunity for earlier initiation of evidence-based therapies, rapid access to aggressive treatment strategies, and coordination with capable centers for efficient delivery of care.…”

Section: Introductionmentioning

confidence: 99%

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Utilization of Emergency Medical Services by Patients with Acute Coronary Syndromes in the Arab Gulf States

Fares¹,

Zubaid²,

Almahmeed³

et al. 2011

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Utilization of Emergency Medical Services by Patients with Acute Coronary Syndromes in the Arab Gulf States

Fares¹,

Zubaid²,

Almahmeed³

et al. 2011

The Journal of Emergency Medicine

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“…Pre-hospital causes are main causes of delay in starting reperfusion therapy. Pre-hospital delay is divided in two groups: time from onset of symptoms till decision of the patients to arrive to hospital and time from deciding to seek medical help to arriving to the hospital (2, 3, 9, 10). …”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Pre-hospital Delay in Patients With Acute Myocardial Infarction

Farshidi¹,

Rahimi²,

Abdi³

et al. 2013

Iran Red Crescent Med J

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BackgroundTreatment of patients with acute myocardial infarction (AMI) is time related, so delay in treatment could affect prognosis. Recognizing pre-hospital or in-hospital delays in initiating treatment and reducing these factors is very efficacious in treatment of these patients.ObjectivesThe aim of this study is evaluate the causes of pre-hospital delay just as other studies on effect of different variables such as socioeconomic and personal factors on pre-hospital delay in with patients with AMI.Materials and MethodsA cross sectional study was carried out on 227 patients with acute myocardial infarction and demographic data, educational level, marital status, type of transfer to hospital and delay in arrival to hospital were recorded.Results35.7% patients arrived during one hour of symptom onset, and 7.9% arrived after 24 hours. Patients having high level education (P = 0.0492) and with a family history of coronary artery disease (P = 0.01) had significantly less delay in arriving to hospital. Age, marital status, gender, and route of transfer to hospital were not related with pre-hospital delay (P > 0.05). Patients thought most common cause of delay in arrival was unawareness of coronary artery disease (38.8%) and self-medication (34.3%).ConclusionsIncreasing awareness of patients about cardiovascular symptoms and their risk factors could be helpful in patient's decision in seeking medical help. So general education via media and primary and middle schools could be helpful.

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“…Despite enormous efforts in public education, pre-hospital treatment seeking time still remains more than optimal in most patients with acute coronary syndrome (ACS). 1 , 2 , 3 Two third of treatment seeking delays in patients with ACS is due to delayed arrival in emergency department (ED). Some studies show that about 25% of patients with ACS wait more than 6 h before seeking medical care.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of delayed pre-hospital treatment seeking in patients with acute coronary syndrome: A prospective study

Fathi

Rahiminiya

Zare

et al. 2015

Turkish Journal of Emergency Medicine

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ObjectivesDespite enormous efforts in public education, treatment seeking time still remains more than optimal in patients with acute coronary syndrome. This prospective study tries to determine the risk factors of pre-hospital delay in patients with acute coronary syndrome.MethodsDescriptive data of 190 patients with diagnosis of acute coronary syndrome attending in 2 tertiary level teaching hospital emergency departments were analyzed to determine risk factors of delayed pre-hospital treatment seeking. Demographic, social and clinical characteristics of patients were obtained and they were asked to fully describe their symptoms and the actions they had done after their symptoms onset.ResultsThirty nine (20.52%) of patients were arrived in emergency department in <1 h of their symptoms onset, 73 (38.43%) were arrived between 1 and 6 h and 78 (41.05%) were arrived in >6 h. Sex, route of transport, scene-to-hospital distance, attributing the symptoms to non-cardiac causes and outpatient physician consultation and cigarette smoking were the risk factors of delayed treatment seeking in our studied patients with acute coronary syndrome. Patients with previous history of ischemic heart disease and Coronary Care Unit admission and patients with underlying diseases like diabetes mellitus, hypertension and hyperlipidemia showed a trend to have more delayed treatment seeking behavior but not with a statistically significant difference. Patients with positive family history of acute coronary syndrome arrived in emergency department earlier than other patients but again with not a statistically significant difference.ConclusionMost patients with acute coronary syndrome arrived in emergency department in >6 h of their symptoms onset. Sex, route of transport, scene-to-hospital distance, attributing the symptoms to non-cardiac origins, outpatient physician consultation and cigarette smoking were risk factors of delayed treatment seeking in studied patients.

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Predictors of in-hospital delay to reperfusion in patients with acute myocardial infarction in Japan

Cited by 11 publications

References 19 publications

Utilization of Emergency Medical Services by Patients with Acute Coronary Syndromes in the Arab Gulf States

Utilization of Emergency Medical Services by Patients with Acute Coronary Syndromes in the Arab Gulf States

Factors Associated With Pre-hospital Delay in Patients With Acute Myocardial Infarction

Risk factors of delayed pre-hospital treatment seeking in patients with acute coronary syndrome: A prospective study

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