Patients with cardiac chest pain should call emergency services

Roberts, Will T.

doi:10.1136/bmj.39342.693252.47

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…For acute coronary syndromes (ACS); urgent referral to hospital is essential to be evaluated for the need of reperfusion therapies and patients should be taken under medical supervision to prevent fatal arrhythmic complications (1). Although guidelines recommend the initiation of reperfusion therapy within 90 minutes after onset of symptoms, undesirable delays mainly based on patient's decision time to seeking medical care still occur (2-4).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the use of ambulance among patients with acute coronary syndrome: results of two centers in Turkey

Demirkan¹,

Ege²,

Doğan³

et al. 2013

Anadolu Kardiyol Derg

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Objective: In this study, we aimed to identify the factors influencing the use of ambulance among patients admitted to two Turkish hospitals with acute coronary syndrome (ACS). Methods: Overall, 330 with a mean age of 55±13 years, hospitalized patients with ACS at 2 different hospitals were included in this prospective cohort study. The factors influencing the use of ambulance hospital were investigated through a questionnaire. The comparisons were made between two groups regarding use of ambulance. The predictors of the use of ambulance were determined using multiple logistic regression analysis. Results: Despite the high rate of knowing the emergency service number of "112", of the 330 patents, only 96 (29%) used ambulance. Ambulance users had shorter arrival duration with median of 60 min vs 120 min (p=0.03). Presenting with ST elevation myocardial infarction (OR=3.127, 95% CI: 1.555-6.2877, p<0.001), severity of chest pain (OR=2.665, 95% CI: 1.938-3.665, p<0.001), presence of accompanying symptoms such as dyspnea (OR= 5.510, 95% CI: 2.614-11.614, p<0.001), dizziness (OR=4.172, 95% CI: 1.901-9.154, p<0.001) and vomiting (OR=3.756, 95% CI: 1.521-9.272, p=0.004), knowledge of cardiac risk factors (OR=10.512, 95% CI: 4.497-24.572, p<0.001) or chest pain related to heart attack and the importance of quickly seeking for medical care by calling ambulance (OR= 4.184, 95% CI: 2.528-6.926, p<0.001) are the factors associated with ambulance use. Conclusion: Using ambulance was in a very low rate among our study patients with ACS. Severity of symptoms, type of ACS and knowledge are seemed to be related with increased ambulance use. Informative health educational programs can be organized to achieve a behavioral change in using of ambulance. (Anadolu Kardiyol Derg 2013; 13: 516-22) Key words: Ambulance use, acute coronary syndrome, regression analysis Original Investigation Özgün Araşt›rma 516ÖZET Amaç: Ambulans kullanılması akut koroner sendromlu (AKS) hastaların hastaneye nakli sırasında sadece hızlı değil, aynı zamanda güvenilir ulaşım şeklidir. Bu çalışma AKS tanısı ile iki ayrı merkeze başvuran hastalarda ambulans kullanımını etkileyen faktörlerin belirlenmesi amaçlanmıştır. Yöntemler: Türkiye'de 2 ayrı hastanede AKS tanısı ile hastaneye yatırılan ve yaş ortalaması 55±13 olan toplam 330 hasta bu prospektif kohort çalışmaya dahil edilmiştir. Hastaların hastaneye ulaşım şeklini etkileyen faktörler bir anket formu aracılığıyla araştırılmıştır. Hastalar ambulans kullanıp kullanmadıklarına göre iki gruba ayrılarak karşılaştırmalar yapılmıştır. Ambulans kullanımını belirleyen faktörler çoklu lojistik regresyon analizi ile değerlendirilmiştir. Bulgular: Acil servis numarası "112"nin yüksek oranda biliniyor olmasına rağmen, 330 hastanın sadece 96'sı (%29) ambulans kullanırken, geri kalan 234 (%71) hasta kendi ulaşımını sağlamıştır. Ambulans kullananların hastaneye ulaşım süreleri (ortanca 120 dakikaya karşılık 60 dakika olarak) daha kısa olmuştur (p=0,03). ST yükselmeli miyokart enfarktüsü ile başvurma (OR=3,127, %9...

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Section: Introductionmentioning

confidence: 99%

Factors influencing the use of ambulance among patients with acute coronary syndrome: results of two centers in Turkey

Demirkan¹,

Ege²,

Doğan³

et al. 2013

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

show abstract

“…For acute myocardial infarction (AMI), urgent referral to hospital is imperative because mortality decreases if thrombolysis can be carried out quickly [10]. The national infarct angioplasty project pilot sites report (UK) reveals that 3.1% of patients with ST-segment elevation AMI who were transferred by ambulance had ventricular tachycardia or ventricular fibrillation requiring cardioversion [11]. The most important life-saving device for these patients is to get them to a defibrillator and start reperfusion therapy as soon as possible [11].…”

Section: Introductionmentioning

confidence: 99%