The pre-hospital delay in seeking treatment in patients with acute myocardial infarction referring to a central hospital in Kashan, Iran

Dianati, Mansour; Mosavi, Gholam Abbas; Hajibagheri, Ali; Alavi, Negin Masoudi

doi:10.4103/0019-5359.101806

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…In addition, the median delay was 216 minutes in London (15), and 56.2% of patients presented to a hospital within 240 minutes of symptom onset in India (16). The mean delay time was 127 ± 174 minute in a previous study in Kashan (17). …”

Section: Introductionmentioning

confidence: 59%

Predictors of Prehospital Delay in Patients With Acute Myocardial Infarction in Kashan City

Saberi¹,

Adib-Hajbaghery²,

Zohrehea³

2014

Nurs Midwifery Stud

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Background:The prehospital delay might result in death in patients with acute myocardial infarction (AMI). Objectives: This study aimed to investigate the prehospital delay and its related factors in patients with AMI admitted to Kashan's Shahid Beheshti Hospital. Patients and Methods:This cross-sectional study was conducted on 117 patients with AMI in the second half of 2013. The interval between the onset of symptoms and arrival at the hospital was noted and in cases of delay, the factors leading to the delay were investigated using a questionnaire. The content validity of the questionnaire was confirmed through content validity method and its internal consistency was confirmed using Cronbach's alpha coefficient. Chi-square test, odds ratio, and logistic regression analysis were used in data analysis. Results: The median delay was 129 minutes (mean ± SD, 240.44 ± 295.30). Overall, 32.5% of patients were admitted within 90 minutes of symptom onset. The long distance between living locations to the hospital was the most common cause of delay to hospital admission (31.7%). Significant associations were observed between the delay time and location of residency (P = 0.00) and type of transportation vehicle (P = 0.003). Multivariate logistic regression analysis showed that the location of residency and type of transportation vehicle could significantly predict the delay time in patients with AMI (P = 0.039 and 0.036, respectively). Conclusions:The delay time from symptom onset to hospital admission was high in patients with AMI. It is necessary to create emergency medical system (EMS) stations in suburbs and train the public on the importance of quick contact with the EMS when the symptoms of an AMI are observed.

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Section: Introductionmentioning

confidence: 59%

Predictors of Prehospital Delay in Patients With Acute Myocardial Infarction in Kashan City

Saberi¹,

Adib-Hajbaghery²,

Zohrehea³

2014

Nurs Midwifery Stud

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“…3 Pre-hospital delay is affected by age of the patient, severity of angina pain, history of CAD and perception of symptom as a cardiac problem. 4 Variables that significantly predict pre-hospital delay are misinterpretation of nature of pain, illiteracy and pain resistance behaviour. Interventions to decrease pre-hospital delay must focus on improving public awareness of AMI symptoms and early treatment benefits.…”

Section: How To Cite This Articlementioning

confidence: 99%

Gender Difference and Factors Affecting Pre Hospital Delay Among Patients With Acute Myocardial Infraction

Nair¹,

Chacko²,

Kavungathodi³

et al. 2018

jebmh

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BACKGROUND Acute Myocardial Infraction (AMI) is a serious and life-threatening manifestation of coronary artery disease (CAD) affecting both males and females, which need immediate management. The present study was aimed to assess the gender difference and factors affecting pre-hospital delay among patients with AMI. MATERIALS AND METHODS The 290 patients admitted with AMI from 13-02-2016 to 26-03-2016 were studied. A descriptive comparative design was adopted for the study. Socio personal and clinical variables of the subjects were assessed. Pre-hospital delay was measured in terms of time from the onset of symptoms till the patient reaches a health care setting. One hour after the onset of symptom of AMI was considered as the Golden hour. Data was analysed using SPSS 20.0 software.

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“…Only a minority of patients with AMI (35.7%) arrived at the hospital during the first hour of symptom onset, 7.9% 24 hours after symptom onset in Bandar Abbas, 12 and 69.0% 2 hours after symptom onset in Kashan. 15 In other articles, the mean (±SD) pre-hospital delay was 7.40 (±16.25) hours in Gilan, 14 127.00 (±174.00) minutes in Kashan, 13 265.60 minutes (among patients with acute coronary syndromes), 18 149.00 (±120.00) minutes in Isfahan, 19 and 146.00±20.00 minutes in Tehran among patients transferred in Emergency Medical System (EMS) ambulances. 20 The median time of hospital arrival, according to various articles, was 279 (interquartile range [IQR], 120 to 630) minutes, 16 258 (IQR, 108 to 574) minutes, 21 3 (min-max: 0.5148) hours, 22 and 244 (IQR, 109 to 565) minutes 23 in Tehran.…”

Section: Introductionmentioning

confidence: 96%

“…Patients with a higher level of education had a lower rate of prehospital delays 12 , 16 and vice versa. 13 , 14 The most common causes of delays were unawareness of coronary artery disease 12 and waiting for improvement. 15…”

Section: Introductionmentioning

confidence: 99%

Myocardial Infarction in Iran: Epidemiology, Management, and Prognosis

Beyranvand,

Manhoobi,

Shahraz

et al. 2023

JTHC

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Background: Cardiovascular diseases, specifically acute myocardial infarction (AMI), are the leading cause of death worldwide. In this review, we explain the characteristics of AMI in Iran. Methods: We searched PubMed, Google, and Google Scholar for articles containing myocardial infarction, STEMI, and MI+ Iran in English and Persian words. Results: The age-standardized incidence rate of MI was 73.3 per 100 000. The mean±SD age of patients was 61.20±13.40 years. In-hospital mortality of patients with AMI in the IMIR was 12.1%. Concerning AMI complications reported in the IMIR, 5.8% of patients experienced ventricular tachycardia, and 2.5% experienced ventricular fibrillation. The 1-year mortality rate in the IPACE2 study was 4.3%. Conclusion: Only a few national studies are available in Iran regarding patients with AMI. A federal surveillance program continuously monitoring and tracking coronary events is essential to improve the general population’s health.

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The pre-hospital delay in seeking treatment in patients with acute myocardial infarction referring to a central hospital in Kashan, Iran

Abstract: Despite having only 25% of the patients referring to this center by ambulance, most patients arrived on time to the hospital.

Cited by 9 publications

References 11 publications

Predictors of Prehospital Delay in Patients With Acute Myocardial Infarction in Kashan City

Predictors of Prehospital Delay in Patients With Acute Myocardial Infarction in Kashan City

Gender Difference and Factors Affecting Pre Hospital Delay Among Patients With Acute Myocardial Infraction

Myocardial Infarction in Iran: Epidemiology, Management, and Prognosis

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