Factors Related to Pre-hospital Delay in Korean Patients with ST-segment Elevation Myocardial Infarction: A Data from the Province of Jeonbuk Regional Cardiovascular Center
Journal of Lipid and Atherosclerosis
;
: 21-26, 2016.
Article
in Korean
| WPRIM
| ID: wpr-121891
ABSTRACT
OBJECTIVE:
Despite successful efforts to shorten the door-to-balloon time in patients with ST-segment elevation myocardial infarction (STEMI), pre-hospital delayremains a problem. We evaluated the factors related to pre-hospital delay using the Jeonbuk regional cardiovascular center database.METHODS:
From 2010 to 2013, a total of 384 STEMI patients were enrolled. We analyzed the onset time, door time, and balloon time, and the patients were grouped according to pre-hospital delay (120 minutes). Clinical and socio-demographic variables were compared.RESULTS:
53.2% of patients had prolonged onset-to-door time (median 130, interquartile range [IQR] 66~242 minutes), and 68.5% of patients did not achieve 60 years (OR 1.8, 95% CI 1.1-3.0, p=0.031) and hypertension (OR 1.9, 95% CI 1.2-2.9, p=0.047) were independent predictors of pre-hospital delay.CONCLUSIONS:
The present study demonstrated a significant pre-hospital delay in the treatment of STEMI patients in the Province of Jeonbuk. Public campaigns and education are needed to raise the public awareness of STEMI and the use of 119.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Multivariate Analysis
/
Education
/
Emergencies
/
Emergency Medical Services
/
Time-to-Treatment
/
Hypertension
/
Myocardial Infarction
Type of study:
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of Lipid and Atherosclerosis
Year:
2016
Type:
Article
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