Gender and Age Differences Associated With Prehospital Delay in Chinese Patients Presenting With ST-Elevation Myocardial Infarction

Zhang, Bo; Zhang, Wei; Huang, Rongchong; Zhu, Hao; Liu, Jun; Jiang, Daming; Ren, Luping; Zhou, Xiaodan; Qi, Guoxian

doi:10.1097/jcn.0000000000000219

Cited by 16 publications

(26 citation statements)

References 26 publications

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“…Furthermore, in univariate analysis, the arrival time was prolonged in those with low education; however, in multivariate analysis, education level did not lead to any significant differences in arrival time. Since this finding is inconsistent with those of other previous studies,394041 an analysis of more patients would be required to assess arrival time by education level. Nonetheless, since those with low education made decisions late to seek medical assistance at a hospital, these late decisions would have led to ER arrival delays.…”

Section: Discussioncontrasting

confidence: 79%

“…Moser, et al17 found no differences by education level. However, some studies394041 that did not assess male and female participants separately reported that education level exerted significant influences on the decision time to seek medical assistance at a hospital, and, as in the present study, the delay in these studies could have been further prolonged in female patients. Late decisions in poorly educated female patients may be due to aging and lack of knowledge of symptoms for AMI.…”

Section: Discussionmentioning

confidence: 42%

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Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

et al. 2017

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PurposeThe aim of our study was to investigate gender differences in factors related to prehospital delay and identify whether the knowledge of acute myocardial infarction symptoms affects this delay in Korean patients with ST-elevation myocardial infarction (STEMI).Materials and MethodsA total of 350 patients (286 men, 64 women) with confirmed STEMI were interviewed to investigate socio-demographics, history of disease, symptom onset time, and factors that contributed to delayed decision time in seeking treatment and hospital arrival time from symptom onset. Factors associated with prehospital delay were examined separately by gender using univariate and multivariate analyses.ResultsFemale patients had higher proportions of ≥60-minute decision time and ≥120-minute arrival time compared to male patients (33.9% vs. 23.1%, 60.9% vs. 52.1%, respectively). However, the difference was not statistically significant (p=0.093 and 0.214, respectively). Previous cardiovascular disease (CVD) was associated with increased decision time in men, whereas, in women, lower educational status caused a greater delay in decision time. Factors associated with hospital arrival time excluding delayed decision time were referral from another hospital, previous CVD, and percutaneous coronary intervention in men, and referral from another hospital in women.ConclusionGender differences exist in factors related to prehospital delay. Therefore, public education to reduce prehospital delay should be conducted according to gender with a focus on the pertinent factors.

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Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 42%

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

et al. 2017

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“…Истраживања су показала да и поред могућих узрока ових разлика, попут чешћих случајева атипичног испољавања, као и веће учесталости коморбидитета код жена и старијих пацијената, разлика и даље постоји (18). Једно могуће објашњење јесте то да особе женског пола, као и старији пацијенти, чекају дуже време пре него што одлуче да се јаве лекару због бола или нелагоде у грудима (19).…”

Section: Results When We Analyzed 1632 Calls Based Onunclassified

“…Највећа разлика у чекању позива код диспечера пре давања налога екипи на извршење постоји између особа мушког и женског пола и особа мушког пола млађег и старијег животног доба (више од два минута) (табела 2). Још један фактор који би могао да услови овакву неједнакост у приступу јесте чињеница да како жене, тако и старији пацијенти, чекају дуже од тренутка почетка тегоба до момента контактирања здравствених установа (19)(20)(21)(22).У нашем истраживању особе млађе животне доби до 65 година краће чекају од особа старијег животног доба да се позив уручи екипи на извршење. То је показано и у истраживању у Хитној медицинској помоћи из 2012 године (23).…”

Section: слика 1 однос особа мушког и женског пола у истраживаној групиunclassified

Influence of patient gender on response time intervention at the Emergency Dispatch Centre

Šarenac¹,

Živanović²

2019

Medicinski časopis

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“…As previously described,[13] in the first period, STEMI patients who presented at 12 secondary hospitals located in rural areas of China's Liaoning province were consecutively recruited from June 2009 to June 2010. Physicians would complete a purposed-designed questionnaire after written informed consent was obtained from patients or their families.…”

Section: Methodsmentioning

confidence: 99%

Current Trends for ST-segment Elevation Myocardial Infarction during the Past 5 Years in Rural Areas of China's Liaoning Province

Zhou

et al. 2017

Chinese Medical Journal

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Background:Since 2010, two versions of National Guidelines aimed at promoting the management of ST-segment elevation myocardial infarction (STEMI) have been formulated by the Chinese Society of Cardiology. However, little is known about the changes in clinical characteristics, management, and in-hospital outcomes in rural areas.Methods:In the present multicenter, cross-sectional study, participants were enrolled from rural hospitals located in Liaoning province in Northeast China, during two different periods (from June 2009 to June 2010 and from January 2015 to December 2015). Data collection was conducted using a standardized questionnaire. In total, 607 and 637 STEMI patients were recruited in the 2010 and 2015 cohorts, respectively.Results:STEMI patients in rural hospitals were older in the second group (63 years vs. 65 years, P = 0.039). We found increases in the prevalence of hypertension, prior percutaneous coronary intervention (PCI), and prior stroke. Over the past 5 years, the cost during hospitalization almost doubled. The proportion of STEMI patients who underwent emergency reperfusion had significantly increased from 42.34% to 54.47% (P < 0.0001). Concurrently, the proportion of primary PCI increased from 3.62% to 10.52% (P < 0.0001). The past 5 years have also seen marked increases in the use of guideline-recommended drugs and clinical examinations. However, in-hospital mortality and major adverse cardiac events did not significantly change over time (13.01% vs. 10.20%, P = 0.121; 13.34% vs. 13.66%, P = 0.872).Conclusions:Despite the great progress that has been made in guideline-recommended therapies, in-hospital outcomes among rural STEMI patients have not significantly improved. Therefore, there is still substantial room for improvement in the quality of care.

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Gender and Age Differences Associated With Prehospital Delay in Chinese Patients Presenting With ST-Elevation Myocardial Infarction

Cited by 16 publications

References 26 publications

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

Influence of patient gender on response time intervention at the Emergency Dispatch Centre

Current Trends for ST-segment Elevation Myocardial Infarction during the Past 5 Years in Rural Areas of China's Liaoning Province

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