ArticleInternational journal of environmental research and public health2022
Impact of the "Warning Signs Campaign" on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 2 citations in OpenAlex.
- Predictors of Delayed Hospital Presentation for Myocardial Infarction Among Diabetic Patients: A Retrospective Study.Cureus · 2026Article
- Equity-Related Factors in Emergency Medical Service Use for Acute Coronary Syndromes: A Systematic Review.Open access emergency medicine : OAEM · 2026Review
- Exploring the experiences and rehabilitation needs of patients with coronary artery diseases: an effort to design a contextual home-based cardiac rehabilitation through a qualitative enquiry.BMC sports science, medicine & rehabilitation · 2025Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe National Heart Foundation's Warning Signs Campaign (2009-2013) aimed to raise awareness amongst the public of Acute Coronary Syndrome (ACS), encouraging people to recognise suggestive symptoms and seek immediate medical attention. This study explores the impact of the campaign on the characteristics of patients presenting to hospitals around Australia with ACS.
designRetrospective cohort analysis Setting: 10 Australian Hospitals recruiting for the CONCORDANCE registry continuously throughout the campaign period.
participantsPatients presenting with ACS to hospitals before, during and after the campaign ran in their jurisdiction.
main outcome measuresWhether an ambulance was called, time between onset of symptoms to first medical contact, as well as time between onset of symptoms to primary percutaneous intervention or lysis.
resultsTime to first medical contact did not improve during or post-campaign for NSTEACS medical hours (IQI) 1.6 (0.5-4.8) pre, 2.2 (0.7-7.6) during, 2 (0.7-6.9) post (
conclusionAmong patients with ACS, we detected no increase in proportion of ambulance presentations nor earlier presentations among NSTEACS or STEMI during the campaign. There was an increase in the proportion of patients for whom English was the first language and those without a prior cardiac history but with cardiovascular risk factors, suggesting that the campaign impacted preferentially on certain strata in the community.
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