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Trends and predictors of prehospital delay in patients undergoing primary coronary intervention.
- Source :
-
Coronary artery disease [Coron Artery Dis] 2018 Aug; Vol. 29 (5), pp. 373-377. - Publication Year :
- 2018
-
Abstract
- Objective: Delay in seeking medical care following symptom onset in patients with acute ST-elevation myocardial infarction (STEMI) is related to increased morbidity and mortality. Actual trends of prehospital delays in patients hospitalized with STEMI have not been well characterized. We evaluated trends in the length of time that had elapsed from symptom onset to hospital presentation among STEMI patients admitted to our hospital.<br />Patients and Methods: We retrospectively studied 2203 consecutive patients hospitalized for acute STEMI who underwent primary percutaneous coronary intervention (PCI) between January 2008 and December 2016. Information on the delay in time from symptom onset to presentation at hospital was extracted from the patients' medical records.<br />Results: Over the 9-year study period, the median duration of prehospital delay for patients undergoing primary PCI showed significant variations, being maximal between the years 2013 and 2014 (150 vs. 90 min, respectively, P<0.001). A significant increase was found in the proportion of patients with prehospital delay less than 2 h, being maximal between the years 2011 and 2013 (64 vs. 47%, P=0.001). An opposite trend was found for decrease in patients with prehospital delay more than 6 h, being maximal between 2008 and 2015 (32 vs. 23%, P=0.001). Multivariate logistic regression model showed that older age, diabetes, female sex, and first STEMI were associated independently with prehospital delay more than 2 h.<br />Conclusion: Prehospital delay periods for patients undergoing primary PCI showed variations over time. More efforts are needed to educate at-risk populations about seeking early medical assistance.
- Subjects :
- Age Factors
Aged
Comorbidity
Female
Humans
Male
Middle Aged
Patient Admission trends
Percutaneous Coronary Intervention adverse effects
Percutaneous Coronary Intervention mortality
Retrospective Studies
Risk Factors
ST Elevation Myocardial Infarction diagnosis
ST Elevation Myocardial Infarction mortality
Sex Factors
Time Factors
Treatment Outcome
Patient Acceptance of Health Care
Percutaneous Coronary Intervention trends
ST Elevation Myocardial Infarction surgery
Time-to-Treatment trends
Subjects
Details
- Language :
- English
- ISSN :
- 1473-5830
- Volume :
- 29
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Coronary artery disease
- Publication Type :
- Academic Journal
- Accession number :
- 29406393
- Full Text :
- https://doi.org/10.1097/MCA.0000000000000608