0227: Why patients delay their call during STEMI?

Autor: Gilles Auzemery, Valérie Pradel, Patrice Virot, Victor Aboyans, Dominique Cailloce, Gilles Faugeras, Jean-Pierre Faure, Julien Magne, Baptiste Salerno, Pierre-Bernard Petitcolin, Dania Mohty
Rok vydání: 2015
Předmět:
Zdroj: Archives of Cardiovascular Diseases Supplements. 7:109
ISSN: 1878-6480
DOI: 10.1016/s1878-6480(15)71799-4
Popis: PurposeDespite public campaigns for calling rapidly the emergency phone number in case of chest pain, many patients still delay their call. We sought to determine factors influencing the call delay in case of STEMI.MethodsWe studied 206 consecutive patients admitted for STEMI. They were classified according to tertiles of delay between symptoms onset and the first call (« early-callers » for 1st & 2nd tertiles, « late-callers » for the 3rd tertile). We compared these 2 groups according to the registry data. We contacted the survivors to obtain further information on socio-economic status and events during symptoms onset.ResultsThe patients (age 64±14 y, 75% males) called on average in 2.5±3.5 hours (early-callers 1.6±1.8 vs. 4.4±5.0 for late-callers). In multivariate analysis, the following factors were significantly associated with late call: age (OR=1.03, 95%CI: 1.00-1.05), living >30 min. from cath lab (OR=2.8, 1.1-7.1), symptoms onset between 00:00-05:59 am (OR=2.3, 1.1-4.8) and first call to the family physician (OR=1.9, 1.8-3.6). The respondents to interview did not differ from others regarding age and call delay. Main variables during interview are compared between in the 2 groups in Figure. In a second model using interview variables, following factors were associated with late call, adjusted for age and sex: symptoms onset between 00:00-05:59 am (OR=3.8, 1.00-14.5), self-medication (OR=7.7, 2.2-27.0), mild pain (visual scale
Databáze: OpenAIRE
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