ArticleArquivos brasileiros de cardiologia2022
Impact of Patient Unawareness and Socioeconomic Factors on Patient Presentation to Primary Percutaneous Coronary Intervention.
Article in Arquivos brasileiros de cardiologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Having Symptoms of an Acute Myocardial Infarction? Call Your Emergency Medical Service Immediately!Arquivos brasileiros de cardiologia · 2022Article
- If "Time Is Muscle," Then the Patient's Knowledge Must Save Time.Arquivos brasileiros de cardiologia · 2022Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient unawareness about acute myocardial infarction, its complications and the benefits of early revascularization is a crucial point that determines the outcomes. Moreover, the relationship between socioeconomic factors and patient presentation to primary percutaneous coronary intervention (PPCI) has not been fully studied.
objectivesOur objective was to investigate whether or not patient unawareness and other socioeconomic factors impact patient presentation to PPCI.
methodsThe study comprised 570 patients with ST-segment elevation myocardial infarction (STEMI) revascularized by PPCI. The patients were classified into two groups according to the total ischemia time (the time from STEMI symptom onset to balloon dilatation); group I: Patients with early presentation (1-12 hours). Group II: Patients with late presentation (>12-24 hours). Socioeconomic factors, clinical outcomes including mortality and major adverse cardiac events (MACE) were evaluated in each group. A p-value < 0.05 was considered statistically significant.
resultsThere are different socioeconomic factors affecting patient presentation to PPCI. Multivariate regression analysis identified the independent socioeconomic predictors as following: low educational level - OR 4.357 (CI95% 1.087-17.47, p=0.038), social isolation - OR 4.390 (CI95% 1.158-16.64, p=0.030) and unawareness about the benefits of early revascularization - OR 4.396 (CI95% 1.652-11.69, p=0.003). Mortality and MACE were higher in group II.
conclusionPatient unawareness and low socioeconomic status were associated with late presentation to PPCI with more adverse outcomes.
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