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Factors influencing pre-hospital delay among patients with acute myocardial infarction in Iran

momeni, maryam (2012) Factors influencing pre-hospital delay among patients with acute myocardial infarction in Iran. Chin Med Journal.

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Abstract

Background Acute myocardial infarction (AMI) is the leading cause of morbidity and disability among Iranian population. Pre-hospital delay is an important cause of increasing early and also late mortality in AMI. Thus the aim of the present study was to identify the factors influencing pre-hospital delay among patients with AMI in Iran. Methods Between August 2010 and May 2011, a cross-sectional and single-center survey was conducted on 162 consecutive patients with ST-elevation myocardial infarction (STEMI) admitted to Cardiac Care Unit (CCU) of Dr. Heshmat Hospital, Rasht. All patients were interviewed by the third author within 7 days after admission by using a four-part questionnaire including socio-demographic, clinical, situational and cognitive factors. Data were analyzed by descriptive and Logistic regression model at P < 0.05 using SPSS 16. Results Mean age was (60.11±12.29) years in all patients. Majority of patients (65.4%) were male. The median of pre-hospital delay was 2 hours, with a mean delay of 7.4 hours (±16.25 hours). Regression analysis showed that admission in weekend (P <0.04, OR=1.033, 95% CI=1.187–2.006) and misinterpretation of symptoms as cardiac origin (P <0.002, OR=1.986, 95% CI=1.254–3.155) and perceiving symptoms to not be so serious (P <0.003, OR=3.264, 95% CI=1.492–7.142) were factors influencing pre-hospital delay > 2 hours. Conclusions Our findings highlight the importance of cognitive factors on decision-making process and pre-hospital delays. Health care providers can educate the public on AMI to enable them recognize the signs and symptoms of AMI

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Divisions: University Portal > schools > snm
Depositing User: pr Nursing and Midwifery School
Date Deposited: 14 Jan 2017 05:30
Last Modified: 14 Jan 2017 05:30
URI: http://eprints.qums.ac.ir/id/eprint/5994

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