Evidence map›Paper›PMID 28540982›Full record

ArticleYonsei medical journal2017

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction.

Hee Sook Kim, Kun Sei Lee, Sang Jun Eun, Si Wan Choi, Dae Hyeok Kim, Tae Ho Park, Kyeong Ho Yun, Dong Heon Yang, Seok Jae Hwang, Ki Soo Park and 1 more

Abstract read
In one paragraph

Article in Yonsei medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
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  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hee Sook KimDivision of Infectious Disease Surveillance, Korea Centers for Disease Control and Prevention, Cheongju, Korea.
Kun Sei LeeDepartment of Preventive Medicine, Konkuk University College of Medicine, Seoul, Korea.
Sang Jun EunDepartment of Preventive Medicine, Chungnam National University School of Medicine, Daejeon, Korea.
Si Wan ChoiDepartment of Internal Medicine, Chungnam National University Hospital and School of Medicine, Daejeon, Korea.
Dae Hyeok KimDepartment of Internal Medicine, Inha University Hospital, Incheon, Korea.
Tae Ho ParkDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
Kyeong Ho YunDepartment of Cardiovascular Medicine, Wonkwang University Hospital, Iksan, Korea.
Dong Heon YangDepartment of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Seok Jae HwangDepartment of Internal Medicine, Gyeongsang National University School of Medicine and Hospital, Jinju, Korea.
Ki Soo ParkDepartment of Preventive Medicine, Gyeongsang National University School of Medicine and Institute of Health Sciences, Jinju, Korea. parkks@gnu.ac.kr.
Rock Bum KimCenter for Regional Cardiocerebrovascular Disease, Gyeongsang National University Hospital, Jinju, Korea. krb747@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our study was to investigate gender differences in factors related to prehospital delay and identify whether the knowledge of acute myocardial infarction symptoms affects this delay in Korean patients with ST-elevation myocardial infarction (STEMI). MATERIALS AND

methodsA total of 350 patients (286 men, 64 women) with confirmed STEMI were interviewed to investigate socio-demographics, history of disease, symptom onset time, and factors that contributed to delayed decision time in seeking treatment and hospital arrival time from symptom onset. Factors associated with prehospital delay were examined separately by gender using univariate and multivariate analyses.

resultsFemale patients had higher proportions of ≥60-minute decision time and ≥120-minute arrival time compared to male patients (33.9% vs. 23.1%, 60.9% vs. 52.1%, respectively). However, the difference was not statistically significant (p=0.093 and 0.214, respectively). Previous cardiovascular disease (CVD) was associated with increased decision time in men, whereas, in women, lower educational status caused a greater delay in decision time. Factors associated with hospital arrival time excluding delayed decision time were referral from another hospital, previous CVD, and percutaneous coronary intervention in men, and referral from another hospital in women.

conclusionGender differences exist in factors related to prehospital delay. Therefore, public education to reduce prehospital delay should be conducted according to gender with a focus on the pertinent factors.

Indexed as

HospitalizationSex CharacteristicsAgedDemographyEmergency Service, HospitalFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPercutaneous Coronary InterventionST Elevation Myocardial InfarctionTime FactorsAcute coronary syndromehealthcare timeoutsex differences

Identifiers

PMID28540982
PMCPMC5447100

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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.