An initial analysis: working hours and delay in seeking care during acute coronary events

Fukuoka, Yoshimi; Takeshima, Masako; Ishii, Noriko; Miura, Chikako; Makaya, Miyuki; Groah, Linda K.; Kyriakidis, Erick; Dracup, Kathleen

doi:10.1016/j.ajem.2009.06.020

Cited by 12 publications

(8 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For future research, there is a need for a more careful assessment of mechanisms, including the use of counterfactual approaches [ 51 ], assessment of triggering effects, and consideration of new potential mediators, such as adherence to self-care and help-seeking behaviors which may also explain differences in health outcomes between those who work long hours and those who do not [ 52 ]. A further important question is how much exposure constitutes the risk of a cardiac event (months or years) and which factors might contribute to individual differences in the tolerance to working long hours.…”

Section: Discussionmentioning

confidence: 99%

Long Working Hours and Risk of Cardiovascular Disease

Virtanen

Kivimäki

2018

Curr Cardiol Rep

View full text Add to dashboard Cite

Purpose of ReviewTo summarize the evidence on the relationship between long working hours and cardiovascular disease, such as coronary heart disease and stroke.Recent FindingsLarge-scale meta-analyses with published and individual participant observational data on more than 740,000 men and women free of cardiovascular disease report a link between long working hours (≥ 55 h a week) and the onset of cardiovascular events. Our meta-analytic update of summary evidence suggests a 1.12-fold (95% CI 1.03–1.21) increased risk associated with coronary heart disease and a 1.21-fold (95% CI 1.01–1.45) increased risk of stroke, although the evidence is somewhat inconsistent and the possibility of residual confounding and bias cannot be ruled out. Few studies have examined the mechanisms which may be stress-related, behavioral, or biological. The recent pooled analyses suggest that increased cardiac electric instability and hypercoagulability might play a role.SummaryThe evidence that long working hours are a risk factor for cardiovascular disease is accumulating and suggests a small risk. Studies on the effects of long working hours in high-risk populations and those with pre-existing cardiovascular disease, mechanistic research, and intervention studies are needed to advance this research field.

show abstract

Section: Discussionmentioning

confidence: 99%

Long Working Hours and Risk of Cardiovascular Disease

Virtanen

Kivimäki

2018

Curr Cardiol Rep

View full text Add to dashboard Cite

show abstract

“…In a study of British civil servants, such sickness presenteeism was found to be associated with increased risk of myocardial infarction in men (90). In one study, Japanese overtime workers had a delay in seeking care during an acute coronary event (91). …”

Section: Discussionmentioning

confidence: 99%

Long Working Hours and Coronary Heart Disease: A Systematic Review and Meta-Analysis

Virtanen¹,

Heikkilä²,

Jokela³

et al. 2012

American Journal of Epidemiology

250

199

View full text Add to dashboard Cite

The authors aggregated the results of observational studies examining the association between long working hours and coronary heart disease (CHD). Data sources used were MEDLINE (through January 19, 2011) and Web of Science (through March 14, 2011). Two investigators independently extracted results from eligible studies. Heterogeneity between the studies was assessed using the I2 statistic, and the possibility of publication bias was assessed using the funnel plot and Egger's test for small-study effects. Twelve studies were identified (7 case-control, 4 prospective, and 1 cross-sectional). For a total of 22,518 participants (2,313 CHD cases), the minimally adjusted relative risk of CHD for long working hours was 1.80 (95% confidence interval (CI): 1.42, 2.29), and in the maximally (multivariate-) adjusted analysis the relative risk was 1.59 (95% CI: 1.23, 2.07). The 4 prospective studies produced a relative risk of 1.39 (95% CI: 1.12, 1.72), while the corresponding relative risk in the 7 case-control studies was 2.43 (95% CI: 1.81, 3.26). Little evidence of publication bias but relatively large heterogeneity was observed. Studies varied in size, design, measurement of exposure and outcome, and adjustments. In conclusion, results from prospective observational studies suggest an approximately 40% excess risk of CHD in employees working long hours.

show abstract

“…The time to treatment for AMI, or what is commonly called “delay time”, includes three phases: time from symptom onset until the patient decides to come to the hospital, transportation time, and time from hospital arrival until receipt of treatment (Moser et al, ). Reported median delay times from symptom onset until arrival to the hospital range from 2.17 h in China (Peng et al, ) to 8.3 h in Japan (Fukuoka et al, ). Delay times in Europe (4.06 h), the USA (2.54 h), and the Middle East (3.5 in Jordan) showed similar ranges (Khraim, Scherer, Dorn, & Carey, ; Ladwig et al, ; Mooney et al, ).…”

Section: Introductionmentioning

confidence: 99%

Patients' knowledge and attitudes about myocardial infarction

Noureddine

Dumit

Maatouk

2019

Nursing & Health Sciences

View full text Add to dashboard Cite

Delay in seeking emergency care contributes significantly to the mortality associated with myocardial infarction. The aims of this descriptive study were to determine Lebanese patients' knowledge, attitudes, and beliefs about heart disease following their hospitalization for acute myocardial infarction, the factors associated, and to investigate the education they receive about heart disease. The study targeted 50 participants diagnosed with myocardial infarction who were interviewed about their knowledge, attitudes, and perceived control related to heart disease in their home 1 month after being discharged from hospital using the Acute Coronary Syndrome Response Index and the Control Attitude Scale–Revised. The findings showed inadequate knowledge, with only 26% scoring over 70%. Moreover, only 16% reported having received education about heart disease. The participants reported confidence in recognizing symptoms and getting assistance during a myocardial infarction. However, their beliefs regarding the importance of prompt seeking of emergency care for myocardial infarction and control over their disease were inconsistent. Patient education and counseling about recognizing and responding adequately to symptoms of myocardial infarction must be improved in both acute and primary healthcare settings.

show abstract

An initial analysis: working hours and delay in seeking care during acute coronary events

Cited by 12 publications

References 25 publications

Long Working Hours and Risk of Cardiovascular Disease

Long Working Hours and Risk of Cardiovascular Disease

Long Working Hours and Coronary Heart Disease: A Systematic Review and Meta-Analysis

Patients' knowledge and attitudes about myocardial infarction

Contact Info

Product

Resources

About