Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission
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Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. / Rasmussen, C-H; Munck, A; Kragstrup, J.; Haghfelt, T.
I: Scandinavian Cardiovascular Journal, Bind 37, Nr. 4, 2003, s. 183-6.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission
AU - Rasmussen, C-H
AU - Munck, A
AU - Kragstrup, J.
AU - Haghfelt, T
PY - 2003
Y1 - 2003
N2 - OBJECTIVE: The aim of the study was to examine patient delay (time from onset of chest pain to patient seeking medical care) among patients who were admitted to hospital with suspected acute coronary syndrome (ACS).DESIGN AND RESULTS: For 337 patients acutely admitted to the Cardiology Department, Odense University Hospital, during a 3-month period in 1998 with suspected ACS, patient delay and the total pre-hospital delay were registered. In addition, information on patient characteristics, patient behaviour and symptom perception was obtained. The median patient delay was 2.85 h (range 0.2-91 h), of this the "silent" patient delay represented 1 h (range 1 min-11.3 h). The total pre-hospital delay was median 3.88 h. Thirty-one per cent of the patients had confirmed acute myocardial infarction (AMI), and this patient group had a significantly shorter patient delay compared with the group without AMI, 2.05 h vs 3.12 h, p = 0.01. Patient delay of more than 2 h was associated with the factors "self-medication" and "wanted to wait and see if the symptoms went away". A smaller than average risk of patient delay was found in the case of "suspicion of heart attack" and "suspicion of a serious condition".CONCLUSION: Patient delay is considered to be a serious impediment to markedly improving the prognosis in the case of ACS.
AB - OBJECTIVE: The aim of the study was to examine patient delay (time from onset of chest pain to patient seeking medical care) among patients who were admitted to hospital with suspected acute coronary syndrome (ACS).DESIGN AND RESULTS: For 337 patients acutely admitted to the Cardiology Department, Odense University Hospital, during a 3-month period in 1998 with suspected ACS, patient delay and the total pre-hospital delay were registered. In addition, information on patient characteristics, patient behaviour and symptom perception was obtained. The median patient delay was 2.85 h (range 0.2-91 h), of this the "silent" patient delay represented 1 h (range 1 min-11.3 h). The total pre-hospital delay was median 3.88 h. Thirty-one per cent of the patients had confirmed acute myocardial infarction (AMI), and this patient group had a significantly shorter patient delay compared with the group without AMI, 2.05 h vs 3.12 h, p = 0.01. Patient delay of more than 2 h was associated with the factors "self-medication" and "wanted to wait and see if the symptoms went away". A smaller than average risk of patient delay was found in the case of "suspicion of heart attack" and "suspicion of a serious condition".CONCLUSION: Patient delay is considered to be a serious impediment to markedly improving the prognosis in the case of ACS.
KW - Acute Disease
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Chest Pain/diagnosis
KW - Coronary Disease/diagnosis
KW - Decision Making
KW - Denmark/epidemiology
KW - Female
KW - Humans
KW - Logistic Models
KW - Male
KW - Middle Aged
KW - Myocardial Infarction/diagnosis
KW - Patient Admission
KW - Risk Factors
KW - Self Medication
KW - Syndrome
KW - Treatment Outcome
U2 - 10.1080/14017430310014920
DO - 10.1080/14017430310014920
M3 - Journal article
C2 - 12944204
VL - 37
SP - 183
EP - 186
JO - Scandinavian Cardiovascular Journal
JF - Scandinavian Cardiovascular Journal
SN - 1401-7458
IS - 4
ER -
ID: 324177818