Factors influencing emergency department arrival time and in-hospital management of patients with acute myocardial infarction

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dc.contributor.authorAyrik C.
dc.contributor.authorErgene U.
dc.contributor.authorKinay O.
dc.contributor.authorNazli C.
dc.contributor.authorUnal B.
dc.contributor.authorErgene O.
dc.date.accessioned2024-07-22T08:23:22Z
dc.date.available2024-07-22T08:23:22Z
dc.date.issued2006
dc.description.abstractReperfusion of the infarct-related artery in the very first hour ("golden hour") of acute myocardial infarction (AMI) significantly reduces mortality rates. Several factors may delay the initiation of reperfusion therapy (ie, thrombolytic therapy or primary percutaneous transluminal coronary angioplasty [PCTA]), most of which are related to patients. A total of 520 patients with suspected AMI were evaluated in the emergency department of Dokuz Eylül University Hospital between March 1996 and October 1999. After inclusion criteria were applied, the study consisted of 178 patients with a history of AMI. Analyzed data that affected patients' arrival to the hospital were obtained from responses to a questionnaire. The Statistical Package for the Social Sciences (SPSS; SPSS Inc., Chicago, III), version 11.0, was used for all statistical analyses. The mean "symptom onset-hospital arrival time" was 188±325 min for the entire study group. The median delay was 110 min (∼2 h). Only 39 (22%) patients arrived to the hospital within the first hour. The mean time needed for late responders (n=109, 74%) (hospital arrival later than 1 h after symptom onset) to arrive was 245±363 min. According to the results of this study, many patients with AMI who may be eligible for reperfusion therapy miss the "golden hour" because of late hospital arrival. Some groups of patients (ie, elderly, women, those with diabetes) were especially late in arriving. To reduce such delays, training programs may be advised to focus on these groups of patients. Arrival times to the hospital during AMI can be greatly improved by efficient public education programs targeted to these groups. ©2006 Health Communications Inc.
dc.identifier.DOI-ID10.1007/BF02850130
dc.identifier.issn0741238X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19498
dc.language.isoEnglish
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMyocardial Infarction
dc.subjectOutcome Assessment (Health Care)
dc.subjectQuestionnaires
dc.subjectSeverity of Illness Index
dc.subjectThrombolytic Therapy
dc.subjectTime and Motion Studies
dc.subjectTime Factors
dc.subjectTriage
dc.subjectTurkey
dc.subjectalteplase
dc.subjectfibrinolytic agent
dc.subjectstreptokinase
dc.subjectacute heart infarction
dc.subjectadult
dc.subjectaged
dc.subjectaging
dc.subjectanamnesis
dc.subjectarticle
dc.subjectcomputer program
dc.subjectconservative treatment
dc.subjectdiabetes mellitus
dc.subjecteducation
dc.subjectemergency ward
dc.subjectfemale
dc.subjectfibrinolytic therapy
dc.subjectgender
dc.subjecthealth insurance
dc.subjectheart muscle reperfusion
dc.subjecthospital care
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmarriage
dc.subjectpatient transport
dc.subjectpercutaneous coronary intervention
dc.subjectquestionnaire
dc.subjectstatistical analysis
dc.subjecttherapy delay
dc.subjecttime
dc.subjecttransluminal coronary angioplasty
dc.titleFactors influencing emergency department arrival time and in-hospital management of patients with acute myocardial infarction
dc.typeArticle

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