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...

Full description

Saved in:
Bibliographic Details
Published in:Saudi medical journal Vol. 41; no. 8; pp. 819 - 827
Main Authors: ALAhmadi, Ahmed F., ALSaedi, Mohammed F., Alahmadi, Abdullah E., Alharbi, Mohammad G., Alharbi, Ibraheem H., Radman Al-Dubai, Sami A.
Format: Journal Article
Language:English
Published: Saudi Arabia Saudi Medical Journal 01.08.2020
Subjects:
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
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract 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.
AbstractList To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with pre-hospital delay.OBJECTIVESTo 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.METHODSA 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).RESULTSThe 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.CONCLUSIONApproximately 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.
Objectives: To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with prehospital delay. Methods: 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. Results: 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). Conclusion: 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 benefits of availing an ambulance service. Keywords: myocardial infarction, ischemic heart diseases, pre-hospital delay, Saudi Arabia
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.
Audience Academic
Author ALAhmadi, Ahmed F.
Alharbi, Ibraheem H.
Alharbi, Mohammad G.
Alahmadi, Abdullah E.
Radman Al-Dubai, Sami A.
ALSaedi, Mohammed F.
AuthorAffiliation From the Saudi Board of Preventive Medicine (ALAhmadi, Al-Dubai), from Primary Health Care Center (ALSaedi), from Madinah General Hospital (Alahmadi), and from Madinah Cardiac Center (Alharbi M, Alharbi I.), Ministry of Health, Al Madinah Al Munawarah, Kingdom of Saudi Arabia
AuthorAffiliation_xml – name: From the Saudi Board of Preventive Medicine (ALAhmadi, Al-Dubai), from Primary Health Care Center (ALSaedi), from Madinah General Hospital (Alahmadi), and from Madinah Cardiac Center (Alharbi M, Alharbi I.), Ministry of Health, Al Madinah Al Munawarah, Kingdom of Saudi Arabia
Author_xml – sequence: 1
  givenname: Ahmed F.
  surname: ALAhmadi
  fullname: ALAhmadi, Ahmed F.
– sequence: 2
  givenname: Mohammed F.
  surname: ALSaedi
  fullname: ALSaedi, Mohammed F.
– sequence: 3
  givenname: Abdullah E.
  surname: Alahmadi
  fullname: Alahmadi, Abdullah E.
– sequence: 4
  givenname: Mohammad G.
  surname: Alharbi
  fullname: Alharbi, Mohammad G.
– sequence: 5
  givenname: Ibraheem H.
  surname: Alharbi
  fullname: Alharbi, Ibraheem H.
– sequence: 6
  givenname: Sami A.
  surname: Radman Al-Dubai
  fullname: Radman Al-Dubai, Sami A.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32789422$$D View this record in MEDLINE/PubMed
BookMark eNp9kktv1DAUhS1URKeFH8AGRWLDJsHvOBukUUULUiUQj7V149zMuEriwU6K5t_j6ZSKIoS8sGV_9-hen3NGTqYwISEvGa2YUqJ-m8abilNOK1NxxYx6QlZMK1MKVqsTsqKibkrFjTwlZyndUCq0pvoZORW8No3kfEW-fI5YbkPa-RmGosMB9gWMYdoUO5g9TnMqfvp5W4BbZizGfXAQO59RP_UQ3ezDlI_FV1g6X6wjtB6ek6c9DAlf3O_n5Pvl-28XH8rrT1cfL9bXpZNczGUreQ2dZs5wZwCMo1J0mqPsuK5byrh2jiH2TALVBlnLGbimAdOrzrQKxTl5d9TdLe2IncvNRhjsLvoR4t4G8Pbxy-S3dhNuba0obzTLAm_uBWL4sWCa7eiTw2GACcOSLJdCUs3yt2X09RHdwIA2zx6yojvgdq2FZg3lWmWq-geVV4ejd9m73uf7RwWv_hzhofff_mSAHQEXQ0oR-weEUXuXAZszYA8ZsMbeZSDX1H_VuGzuwancjR_-U_kL1Fa20A
CitedBy_id crossref_primary_10_1002_hsr2_70720
crossref_primary_10_3390_medicina58091206
crossref_primary_10_4330_wjc_v16_i2_80
crossref_primary_10_9789_2175_5361_rpcfo_v17_13970
crossref_primary_10_33715_inonusaglik_1050494
crossref_primary_10_7759_cureus_64761
ContentType Journal Article
Copyright COPYRIGHT 2020 Saudi Medical Journal
Copyright: © Saudi Medical Journal 2020
Copyright_xml – notice: COPYRIGHT 2020 Saudi Medical Journal
– notice: Copyright: © Saudi Medical Journal 2020
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
5PM
DOI 10.15537/smj.2020.8.25185
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
PubMed Central (Full Participant titles)
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic

MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1658-3175
EndPage 827
ExternalDocumentID PMC7502961
A636190265
32789422
10_15537_smj_2020_8_25185
Genre Journal Article
GeographicLocations Saudi Arabia
GeographicLocations_xml – name: Saudi Arabia
GroupedDBID ---
123
53G
7X7
8FI
8FJ
AAWTL
AAYXX
ABCQX
ABUWG
ADBBV
ADRAZ
AENEX
AFFHD
AFKRA
AFWDF
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BCNDV
BENPR
BPHCQ
BVXVI
CCPQU
CITATION
EBD
EBS
EJD
EMOBN
EOJEC
F5P
FYUFA
HMCUK
HYE
IAO
IHR
INH
INR
IPNFZ
ITC
J5H
KQ8
L7B
M48
OBODZ
OK1
P2P
P6G
PGMZT
PHGZM
PHGZT
PIMPY
PQQKQ
PROAC
RIG
RNS
RPM
SJN
SV3
TR2
UKHRP
ALIPV
CGR
CUY
CVF
ECM
EIF
NPM
7X8
5PM
ID FETCH-LOGICAL-c423t-b427ad61c82c8aa8c043d62e4d267b0126cc1eef14a068e1b21ac99a8f5d8b5e3
ISICitedReferencesCount 7
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000585292800006&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 0379-5284
1658-3175
IngestDate Tue Nov 04 01:40:14 EST 2025
Fri Jul 11 09:59:27 EDT 2025
Tue Nov 11 10:05:02 EST 2025
Tue Nov 04 17:44:04 EST 2025
Thu Apr 03 07:06:56 EDT 2025
Sat Nov 29 03:31:21 EST 2025
Tue Nov 18 21:58:10 EST 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 8
Language English
License This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c423t-b427ad61c82c8aa8c043d62e4d267b0126cc1eef14a068e1b21ac99a8f5d8b5e3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://pubmed.ncbi.nlm.nih.gov/PMC7502961
PMID 32789422
PQID 2434061003
PQPubID 23479
PageCount 9
ParticipantIDs pubmedcentral_primary_oai_pubmedcentral_nih_gov_7502961
proquest_miscellaneous_2434061003
gale_infotracmisc_A636190265
gale_infotracacademiconefile_A636190265
pubmed_primary_32789422
crossref_primary_10_15537_smj_2020_8_25185
crossref_citationtrail_10_15537_smj_2020_8_25185
PublicationCentury 2000
PublicationDate 2020-08-01
PublicationDateYYYYMMDD 2020-08-01
PublicationDate_xml – month: 08
  year: 2020
  text: 2020-08-01
  day: 01
PublicationDecade 2020
PublicationPlace Saudi Arabia
PublicationPlace_xml – name: Saudi Arabia
PublicationTitle Saudi medical journal
PublicationTitleAlternate Saudi Med J
PublicationYear 2020
Publisher Saudi Medical Journal
Publisher_xml – name: Saudi Medical Journal
SSID ssj0036606
Score 2.266144
Snippet To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with pre-hospital delay....
Objectives: To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with...
To estimate the pre-hospital delay time among patients diagnosed with acute myocardial infarction and to determine factors associated with pre-hospital...
SourceID pubmedcentral
proquest
gale
pubmed
crossref
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
StartPage 819
SubjectTerms 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
Subtitle A cross-sectional study
Title Pre-hospital delay among patients with acute myocardial infarction in Saudi Arabia
URI https://www.ncbi.nlm.nih.gov/pubmed/32789422
https://www.proquest.com/docview/2434061003
https://pubmed.ncbi.nlm.nih.gov/PMC7502961
Volume 41
WOSCitedRecordID wos000585292800006&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl:
  eissn: 1658-3175
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0036606
  issn: 0379-5284
  databaseCode: BENPR
  dateStart: 20170101
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Health & Medical Collection
  customDbUrl:
  eissn: 1658-3175
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0036606
  issn: 0379-5284
  databaseCode: 7X7
  dateStart: 20170101
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Publicly Available Content Database
  customDbUrl:
  eissn: 1658-3175
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0036606
  issn: 0379-5284
  databaseCode: PIMPY
  dateStart: 20170101
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/publiccontent
  providerName: ProQuest
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1bi9NAFB66XRFfxLvVdRlBECzZzT0T34K4qGyXwq5Sn8JkMiXVNl3Sdtn9L_5Yz5mZNEmFRR98KSEnkxzyfZ05J3MuhLzJwjzCbpgWuA7goAghYB6cMkvyCAuOxU6mMuS-nUZnZ2wyice93q86F-ZqHpUlu76OL_8r1HAOwMbU2X-Ae3tTOAHHADr8Auzw-1fAjytpFaYbyBBrQN6YjkKmhGqdzyYwQmBxA2tZpZJH4NnwJurYx3O-yWfDpOLZjOvsdbWeWisVulWqLJO6MK2xbfWQhdn5aeuKhDodJsWC5yp4AI7Azj1pZOdcasloWeCn9LZwzptxWQ4eMy-a9IlkXvAqaw3luekWZr5kuE0cnfmSqbSs96e-tLQ0-V1RDG6zbihXz926aJbhKGtNxExPxH8sEEGgagysFj-OUIUjdgQGnm4atFN3Owk9cC7BRQ32yL4bBTHrk_3x59H4e73Se2Fo671wo5nZNcdnHO8-oWP37K7-LfOnG5rbsnUuHpD75qXQRJPrIenJ8hG5OzJhGI_JzzbHqOIYVRyjNccocowqjtGGY7ThGBxSBQXVHHtPE7rDMKoY9oR8Pfl48eGTZbp2WAJM87WV-W7E89ARzBWMcyZs38tDV_q5G0YZ2EOhEI6UU8fndsikk7kOF3HM2TTIWRZI7ynpl8tSPieUxza3JQvBqcn83OMZTB5YT48xBhI_HhC7fqepMCXtsbPKPEXXFmFIAYYUYUhZqmAYkHfbIZe6nsttF79FoFJkENxXcJOyAtph1bS0ociAHHSuhDladMSva6hTFGFgYymXm1Xq-h6a1ECmAXmmod_q5WGWuu-6AxJ1SLG9AEvDdyXlrFAl4sEPcOPQeXG7Wi_JveZ_eED662ojX5E74mo9W1WHZC-asEPD-d8mvdfH
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Pre-hospital+delay+among+patients+with+acute+myocardial+infarction+in+Saudi+Arabia%3A+A+cross-sectional+study&rft.jtitle=Saudi+medical+journal&rft.au=AL+Ahmadi%2C+Ahmed+F&rft.au=ALSaedi%2C+Mohammed+F&rft.au=Alahmadi%2C+Abdullah+E&rft.au=Alharbi%2C+Mohammad+G&rft.date=2020-08-01&rft.pub=Saudi+Medical+Journal&rft.issn=0379-5284&rft.volume=41&rft.issue=8&rft.spage=819&rft_id=info:doi/10.15537%2Fsmj.2020.8.25185&rft.externalDocID=A636190265
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0379-5284&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0379-5284&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0379-5284&client=summon