Prehospital delay in patients presenting with acute ST-elevation myocardial infarction
| Autor: | Aaron Sung Lung Wong, Marcus Eng Hock Ong, Kim Poh Chan, Choon Chiet Hong, Papia Sultana, Pin Pin Pek |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Emergency Medical Services Health Knowledge Attitudes Practice Delayed Diagnosis Time Factors Myocardial Infarction Health Services Accessibility St elevation myocardial infarction Internal medicine medicine Confidence Intervals Humans In patient cardiovascular diseases Myocardial infarction Retrospective Studies Retrospective review Health Services Needs and Demand Singapore business.industry Electrocardiography in myocardial infarction Emergency department Middle Aged medicine.disease humanities Transportation of Patients Emergency Medicine Cardiology Female Medical emergency business |
| Zdroj: | European journal of emergency medicine : official journal of the European Society for Emergency Medicine. 18(5) |
| ISSN: | 1473-5695 |
| Popis: | To characterize prehospital delays in patients presenting with acute ST-elevation myocardial infarction to the emergency department of a tertiary hospital in Asia. A retrospective review of 273 patients with diagnosis of ST-elevation myocardial infarction; symptom to door (S2D) time was described in two ways, time from first onset of symptoms; and time from the onset of the worst episode to presentation at emergency department. The median first onset S2D time was 173 min (interquartile range 80-350 min); and median worst episode S2D time was 131 min (interquartile range 70-261 min). Patients with prehospital delay tended to use their own transport compared with the no delay group (P=0.026, 95% confidence interval=0.02-0.24). There was no difference in S2D times for typical compared with atypical symptoms. A large proportion of patients experienced delay in seeking medical care after the onset of acute coronary symptoms. Self-transport was associated with delay. |
| Databáze: | OpenAIRE |
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