Factors influencing prehospital delay for patients with acute myocardial infarction

Factors influencing prehospital delay for patients

with acute myocardial infarction

Shujuan CHENG;Lufen GUO;Juyuan LIU;Xiaoling ZHU;Hongbing YAN

【期刊名称】《老年心脏病学杂志（英文版）》 【年(卷),期】2007(004)001

【摘要】Objective To investigate the influencing factors for prehospital delay in patients with acute myocardial infarction (AMI).Methods A total of 807 consecutive patients with AMI who presented to the emergency department of Beijing Anzhen Hospital were analyzed. The influence of several potential risk factors on the prehospital delay time (PDT) was evaluated by comparing patients admitted more than 2 hours after onset of chese pain with those admitted within 2 hours after onset. Results Among 807 patients, 402 came to the hospital within 2 hours while the others arrived at the hospital after 2 hours. The median PDT was 130 min. Among the potential variables, advanced age, history of diabetes mellitus, occurrence of symptom at night and use of emergency medical service significantly affected PDT by multivariate analysis. Conclusion Interventions aimed at reducing the prehospital delay in AMI should primarily focus on the awareness of the risk and help-seeking behavior of patients. 【总页数】3页(11-13)

【关键词】acute myocardial infarction;emergency medical service;risk