Recognizing a Heart Attack: Patients' Knowledge of Cardiovascular Risk Factors and Its Relation to Prehospital Decision Delay in Acute Coronary Syndrome
| Autor: | Dunia Garrido, Dafina Petrova, Andrés Catena, José Antonio Ramírez-Hernández, Rocio Garcia-Retamero |
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| Přispěvatelé: | [Garrido,D] Faculty of Health Sciences, Universidad de Castilla-La Mancha, Toledo, Spain. [Garrido,D, Catena,A, Garcia-Retamero,R] Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain. [Petrova,D] Escuela Andaluza de Salud Pública, Granada, Spain. [Petrova,D, Ramírez-Hernández,JA] Instituto de Investigación Biosanitaria ibs.Granada, Granada, Spain. [Petrova,D] CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain. [Ramírez-Hernández,JA] Cardiology Department, Virgen de las Nieves University Hospital, Granada, Spain. [Garcia-Retamero,R] Harding Center for Risk Literacy, Max Planck Institute for Human Development, Berlin, Germany., Financial support was partially provided by the Spanish Ministry of Economy, Industry, and Competitiveness (PSI2011-22954 and PSI2014-51842-R). AC and RG-R are part of the Unit of Excellence on Brain, Behavior and Health (SC2) of the University of Granada, funded by Plan Propio de Investigación, the Andalusian Regional Government, and the European Regional Development Fun (ERDF), ref: SOMM17-6103-UGR. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
knowledge
Health Care::Environment and Public Health::Public Health::Epidemiologic Factors::Bias (Epidemiology) [Medical Subject Headings] Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Acute Coronary Syndrome [Medical Subject Headings] Diseases::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia::Myocardial Infarction [Medical Subject Headings] Disease Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Thinking::Decision Making [Medical Subject Headings] Factores de riesgo para la enfermedad cardiaca Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors [Medical Subject Headings] Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] 0302 clinical medicine Health Care::Environment and Public Health::Public Health::Epidemiologic Measurements::Demography [Medical Subject Headings] Psychology Síndrome coronario agudo General Psychology Original Research Medical record 05 social sciences Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings] Multiple linear regression analysis Information Science::Information Science::Data Collection::Records as Topic::Medical Records [Medical Subject Headings] prehospital delay Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Decision Support Techniques [Medical Subject Headings] Information Science::Information Science::Knowledge [Medical Subject Headings] Persons::Persons::Survivors [Medical Subject Headings] cardiovascular risk medicine.medical_specialty Acute coronary syndrome patient decision making Cardiovascular risk factors lcsh:BF1-990 050105 experimental psychology acute coronary syndrome 03 medical and health sciences Conocimiento Infarto del miocardio medicine 0501 psychology and cognitive sciences In patient decision delay Intensive care medicine Diseases::Cardiovascular Diseases [Medical Subject Headings] Toma de decisiones heart attack Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Regression Analysis [Medical Subject Headings] Técnicas de apoyo para la decisión medicine.disease Risk perception lcsh:Psychology Attribution 030217 neurology & neurosurgery |
| Zdroj: | Frontiers in Psychology, Vol 11 (2020) Digibug: Repositorio Institucional de la Universidad de Granada Universidad de Granada (UGR) Frontiers in Psychology Digibug. Repositorio Institucional de la Universidad de Granada instname |
| Popis: | In acute coronary syndromes (ACSs), longer decision delay – the time patients wait before seeking medical attention after symptoms have started – increases the risk of complications and death. However, many patients wait much longer than recommended and research is needed investigating how patient decision delay can be reduced. In a cross-sectional study of 120 ACS survivors, we investigated the relationship between knowledge of cardiovascular risk factors and decision delay. Several days after the onset of a cardiac event, patients completed a questionnaire measuring demographics, decision delay, objective knowledge of cardiovascular risks factors and of ACS symptoms, and subjective perceptions of symptoms during the cardiac episode. Relevant clinical data were extracted from patients’ medical records. In a multiple linear regression analysis, controlling for demographic and clinical factors, objective knowledge of cardiovascular risk factors and ACS symptoms, and subjective attributions of symptoms to a cardiac cause were related to shorter decision delays. Among patients with relatively high knowledge of risk factors, only 5% waited more than 1 h to seek help, compared to 22% among patients with relatively low knowledge. These results suggest that knowledge of the factors that increase the risk of developing cardiovascular disease could play a role in patient decision making during an acute cardiac event. We discuss methodological issues and potential underlying mechanisms related to decision heuristics and biases, which can inform future research. Spanish Ministry of Economy, Industry, and Competitiveness PSI2011-22954 PSI2014-51842-R Plan Propio de Investigación Andalusian Regional Government European Union (EU) SOMM17-6103-UGR |
| Databáze: | OpenAIRE |
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