ArticleEuropean journal of cardiovascular nursing2009
Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home-to-hospital delay.
Article in European journal of cardiovascular nursing, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review.BMC cardiovascular disorders · 2020Pooled it
- Reducing the time-lag between onset of chest pain and seeking professional medical help: a theory-based review.BMC medical research methodology · 2013Pooled it
- Association of Symptoms and Mode of Transportation to Emergency Department in Patients With Acute Coronary Syndrome.Dimensions of critical care nursing : DCCNTrial
- Pre-Hospital Delay in STEMI: A Narrative Review of Symptom Onset-to-First Medical Contact Across High-Income and Low- and Middle-Income Countries.Clinical cardiology · 2026Review
- Public awareness of early symptoms of acute coronary syndrome and its association with anticipated prehospital delay: a cross-sectional study in Palestine.Frontiers in public health · 2026Article
- Clinical Impact of Self-Recognition of Recurrent Acute Myocardial Infarction: From KRMI-RCC.Journal of clinical medicine · 2024Article
- Review
- Cardiovascular Disease in the Caribbean: Risk Factor Trends, Care and Outcomes Still Far From Expectations.Cureus · 2024Review
- Gender disparities in the mediating role of symptom knowledge level in reducing acute coronary syndrome (ACS) decision delay: Findings from a community-based study in China.BMC emergency medicine · 2023Article
- Focused Chest Pain Assessment for Early Detection of Acute Coronary Syndrome: Development of a Cardiovascular Digital Health Intervention.Global heart · 2023Article
- Factors Responsible for Prehospital Delay in Patients with Acute Coronary Syndrome in Bangladesh.Medicina (Kaunas, Lithuania) · 2022Article
- Treatment Seeking Behaviors and Associated Factors among Patients Experiencing Acute Coronary Syndrome Using Health Belief Model in Addis Ababa, Ethiopia.Ethiopian journal of health sciences · 2022Article
- Variation in Seeking Care for Cardiovascular Disease and Ambulance Utilization among Migrants in Australia: Time, Ethnicity, and Delay (TED) Study III.International journal of environmental research and public health · 2022Article
- Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction.Frontiers in cardiovascular medicine · 2021Article
- Recognizing pain as an early warning symptom of ischemic cardiovascular disease: A qualitative artistic representation of the journey.Canadian journal of pain = Revue canadienne de la douleur · 2020Article
- Acute Coronary Syndrome and patient behavior factors in overcoming the event of chest pain in pre hospital phase.Journal of public health research · 2020Article
- The association between symptom onset characteristics and prehospital delay in women and men with acute coronary syndrome.European journal of cardiovascular nursing · 2020Article
- Effectiveness of the Mobile Emergency Medical Services (SAMU): use of interrupted time series.Revista de saude publica · 2019Article
- Pre-Hospital Factors Influencing Time of Arrival at Emergency Departments for Patients with Acute ST-Elevation Myocardial Infarction.The Malaysian journal of medical sciences : MJMS · 2019Article
- Independent Predictors of Late Presentation in Patients with ST-Segment Elevation Myocardial Infarction.Arquivos brasileiros de cardiologia · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundPre-hospital delays in patients experiencing acute coronary syndromes (ACS) remain unacceptably long.
aimsTo examine simultaneously a wide range of clinical, sociodemographic and situational factors associated with total pre-hospital delay and its two components.
methodsPre-hospital delay data were collected from 228 patients with ACS using patient's medical notes and semi-structured interviews. Total pre-hospital delay (symptom onset to hospital admission) was divided into 2 components: decision time (symptom onset to call for medical help), and home-to-hospital delay (call for help to hospital admission).
resultsShorter total pre-hospital delays and decision times were associated with ST segment myocardial infarction (STEMI), recognizing symptoms as cardiac in origin, being married, symptom onset outside the home and the presence of a bystander. Shorter home-to-hospital delays were more likely among younger patients, those experiencing an STEMI, and patients reporting a greater number of symptoms. Initial contact with emergency medical services was related to shorter total delays and decision times.
conclusionsDifferent factors were associated with shorter times in the 2 component phases. Greater understanding of the factors impacting on the component phases may help target interventions more effectively and reduce pre-hospital delays.
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