Pre-hospital delay among patients with acute myocardial infarction in Saudi Arabia A cross-sectional study

To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with pre-hospital delay. A cross-sectional study was conducted among 200 patients with myocardial infarction at Madinah Cardiac Center, Al Madinah Al Munawarah, Saudi...

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Vydáno v:Saudi medical journal Ročník 41; číslo 8; s. 819 - 827
Hlavní autoři: ALAhmadi, Ahmed F., ALSaedi, Mohammed F., Alahmadi, Abdullah E., Alharbi, Mohammad G., Alharbi, Ibraheem H., Radman Al-Dubai, Sami A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Saudi Arabia Saudi Medical Journal 01.08.2020
Témata:
Acute Coronary Syndrome
Adult
Aged
Aged, 80 and over
Ambulances - statistics & numerical data
Analysis
Cardiac patients
Cross-Sectional Studies
Emergency medical services
Emergency Medical Services - statistics & numerical data
Female
Health Education
Heart attack
Hospitals - statistics & numerical data
Humans
Hypercholesterolemia
Male
Medical research
Middle Aged
Myocardial Infarction - diagnosis
Myocardial Infarction - therapy
Original
Pain
Saudi Arabia - epidemiology
Time Factors
Time-to-Treatment - statistics & numerical data
Saudi Arabia
ISSN:0379-5284, 1658-3175, 1658-3175
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Popis
Shrnutí:To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with pre-hospital delay. A cross-sectional study was conducted among 200 patients with myocardial infarction at Madinah Cardiac Center, Al Madinah Al Munawarah, Saudi Arabia between November 2019 and March 2020. Data were collected by direct physician-subject interviews. We used the validated version of the modified response to symptoms questionnaire. Chi-square test, t test, and multivariate analysis were used to examine factors associated with pre-hospital delay. The median pre-hospital delay time was 3.7 hours. Among all the patients, 126 patients (63%) arrived at the hospital later than 2 hours from the onset of symptoms. Factors that were significantly associated with pre-hospital delay included a previous information on acute coronary syndrome (adjusted odds ratio [adj OR]=0.35, 95% confidence interval [CI] 0.1-0.6), history of hypercholesteremia (adj OR=2.3, 95% CI 1.1-4.7), arrived by ambulance (adj OR=0.3, 95% CI 0.1-0.8), and increased pain intensity (adj OR=0.7, 95% CI 0.6-0.9). Approximately two-thirds of the patients arrived later than 2 hours from the onset of symptoms. A previous information about acute coronary syndrome, history of hypercholesteremia, arrived by ambulance, and increased pain intensity were associated with pre-hospital delay. The study recognizes the need for educational programs about acute myocardial infarction symptoms and the bene ts of availing an ambulance service.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0379-5284
1658-3175
1658-3175
DOI:10.15537/smj.2020.8.25185