ArticleJournal of the American Geriatrics Society2017
Prehospital Delay in Older Adults with Acute Myocardial Infarction: The ComprehenSIVe Evaluation of Risk Factors in Older Patients with Acute Myocardial Infarction Study.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sex disparities in pre-hospital delay in patients with acute myocardial infarction: a systematic review and meta-analysis.BMC cardiovascular disorders · 2026Pooled it
- Characteristics and In-Hospital Outcomes of Self-Transport Patients With Acute Myocardial Infarction: A Nationwide Analysis.Circulation reports · 2026Article
- Changes in Coronary Care for Acute Myocardial Infarction over the Past Two Decades (2000-2023) in Kaunas, Lithuania.Journal of clinical medicine · 2026Article
- Persistent Sex Disparities in Pre-Hospital Delay Among Patients With STEMI Despite Overall Improvements: Findings From the Chinese Cardiovascular Association Chest Pain Center Registry.Journal of the American Heart Association · 2026Article
- A clinical nomogram for predicting major adverse cardiovascular and cerebrovascular events in elderly Chinese patients with acute coronary syndrome undergoing percutaneous coronary intervention: development and validation in a real-world cohort.Journal of geriatric cardiology : JGC · 2025Article
- Emergency Medical Service Responses for Older Adults: A Retrospective Observational Study Comparing Nursing Homes and the Community.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Development and validation of a nomogram model for predicting the risk of pre-hospital delay in patients with acute myocardial infarction.World journal of cardiology · 2024Article
- Symptomology, Outcomes and Risk Factors of Acute Coronary Syndrome Presentations without Cardiac Chest Pain: A Scoping Review.European cardiology · 2024Article
- A risk model for decline in health status after acute myocardial infarction among older adults.Journal of the American Geriatrics Society · 2023Article
- Management of Acute Coronary Syndrome in the Older Adult Population: A Scientific Statement From the American Heart Association.Circulation · 2023Review
- The influence of pressure injury risk on the association between left ventricular ejection fraction and all-cause mortality in patients with acute myocardial infarction 80 years or older.World journal of emergency medicine · 2023Article
- Association of pre-hospital time intervals and clinical outcomes in ST-elevation myocardial infarction patients.Journal of the American College of Emergency Physicians open · 2022Article
- Age discrimination perceived by hospitalized older adult patients in Iran: A qualitative study.Health promotion perspectives · 2022Article
- Predictors of negative first SARS-CoV-2 RT-PCR despite final diagnosis of COVID-19 and association with outcome.Scientific reports · 2021Article
- Correlates of Delayed Initial Contact to Emergency Services among Patients with Suspected ST-Elevation Myocardial Infarction.Cardiology research and practice · 2021Article
- Pre-hospital delay in patients with myocardial infarction: an observational study in a tertiary care hospital of northern Bangladesh.BMC health services research · 2020Observational
- Patient-reported symptoms improve prediction of acute coronary syndrome in the emergency department.Research in nursing & health · 2018Article
- Common-Sense Model Applied to Self-Perception of Aging Among Chinese Community-Dwelling Older Adults: A Qualitative Study.Public health nursing (Boston, Mass.)Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND/
objectivesTimely administration of antiischemic therapies improves outcomes in individuals with acute myocardial infarction (AMI). Prior literature on delays in AMI care has largely focused on in-hospital delay ("door to balloon" time). Our objective was to identify factors associated with prehospital delay in a contemporary national cohort of older adults with AMI.
designCross-sectional analysis of data from the ComprehenSIVe Evaluation of Risk Factors in Older Patients with Acute Myocardial Infarction (SILVER-AMI) study, an observational study of older adults hospitalized for AMI.
settingU.S. academic and community hospitals (N = 94).
participantsIndividuals aged 75 and older hospitalized for AMI (N = 2,500). MEASUREMENTS: Prehospital delay was defined as symptom duration of 6 hours or longer before hospital presentation and was obtained according to participant or caregiver report during AMI hospitalization. Potential predictors of delay from demographic, clinical presentation, comorbid conditions, function, and social support domains were obtained through in-person assessment during the index hospitalization and medical record abstraction.
resultsNonwhite race (adjusted odds ratio (aOR) = 1.54, P = .002), atypical symptoms (aOR = 1.41, P = .001), and heart failure (HF) (aOR = 1.35, P = .006 for HF) were significantly associated with delay.
conclusionIn contrast with younger AMI populations, female sex and diabetes mellitus were not associated with delay in this older cohort, but factors from other domains (nonwhite race, atypical symptoms, and HF) were significantly associated with delay. These results can be used to customize future public health efforts to encourage early presentation for older adults with AMI.
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