Evidence map›Paper›PMID 10908246›Full record

ArticleHeart (British Cardiac Society)2000

Delay in calling for help during myocardial infarction: reasons for the delay and subsequent pattern of accessing care.

W S Leslie, A Urie, J Hooper, C E Morrison

Abstract read
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Article in Heart (British Cardiac Society), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. How do patients with chest pain access Emergency Department care?European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

W S LeslieDepartment of Human Nutrition, University of Glasgow, Glasgow Royal Infirmary, UK. wsl2n@clinmed.gla.ac.uk
A Urie
J Hooper
C E Morrison

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the reasons for delay in calling for help during acute myocardial infarction and the reasons for choice of first medical contact.

designReview of routine medical records and one to one semi-structured interviews.

settingCommunity survey in city of Glasgow, north of the river Clyde. PATIENTS: 228 men and 85 women aged between 25 and 65 years, respectively, who survived acute myocardial infarction between October 1994 and December 1996.

resultsOnly 25% of the subjects made a call for help within one hour of the onset of coronary symptoms; in 40% the delay was greater than four hours. Symptoms were not recognised as coronary in origin in the majority of cases. In all cases where delay was more than one hour the main reasons for the delay were thinking that symptoms would go away or that they were not serious. Requesting the attendance of a general practitioner was the first course of action in the majority of cases (55%); the main reason given was that the patient believed this should always be the first course of action. Reluctance to call the emergency services reflected the belief that the symptoms were not serious enough to warrant an ambulance.

conclusionsStrategies to reduce patient delay times in this deprived urban population must focus on educating the public on the recognition and diversity of coronary symptoms and the benefits of presenting promptly to hospital by way of the emergency ambulance service.

Indexed as

AdultAttitude to HealthEmergency Medical ServicesFemaleHealth EducationHumansMaleMiddle AgedMyocardial InfarctionPatient Acceptance of Health CareRetrospective StudiesScotlandThrombolytic TherapyTime Factors

Identifiers

PMID10908246
PMCPMC1760908

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.