Sökning: onr:"swepub:oai:DiVA.org:umu-196924" >
Factors associated ...
-
Ericsson, Maria,1970-Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
(författare)
Factors associated with patient decision time in ST-segment elevation myocardial infarction, in early and late responders : an observational cross-sectional survey study
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
-
2022-02-09
-
Oxford University Press,2022
-
printrdacarrier
Nummerbeteckningar
-
LIBRIS-ID:oai:DiVA.org:umu-196924
-
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-196924URI
-
https://doi.org/10.1093/eurjcn/zvab124DOI
-
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-183381URI
Kompletterande språkuppgifter
-
Språk:engelska
-
Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
-
Ämneskategori:ref swepub-contenttype
-
Ämneskategori:art swepub-publicationtype
Anmärkningar
-
Funding agencies: The Medical Research Council of Southeast Sweden (FORSS), Region Östergötland, Sweden, and Linköping University Hospital Research Fund, Sweden.
-
AIMS: A short time span from symptom onset to reperfusion is imperative in ST-segment elevation myocardial infarction (STEMI). The aim of this study was to determine factors associated with patient decision time for seeking care in STEMI, particularly how symptoms were experienced and affected patient response.METHODS AND RESULTS: A multicentre cross-sectional self-report survey study was completed at five Swedish hospitals representing geographic diversity. The 521 patients were divided into three groups based on their time to respond to symptoms: early (<20 min), intermediate (20-90 min), and late responders (>90 min). Only one out of five patients both responded early and called an ambulance within 20 min. Believing symptoms were cardiac in origin [odds ratio (OR) 2.60], male sex (OR 2.40), left anterior descending artery as culprit artery (OR 1.77), and bystanders calling an ambulance (OR 4.32) were factors associated with early response and correct action. Associated symptoms such as dyspnoea (OR 1.67) and weakness (OR 1.65) were associated with an early action (<20 min), while chest pain was not independently associated with response time. Cold sweat (OR 0.61) prevented late care-seeking behaviour as did a high symptom burden (OR 0.86).CONCLUSION: Misinterpretation of symptoms delays correct care-seeking behaviour because patient expectations may not be aligned with the experience when stricken by Myocardial infarction. Therefore, it is imperative to continuously enhance public awareness in correct symptom recognition and appropriate care-seeking behaviour and to make efforts to educate individuals at risk for STEMI as well as their next of kin.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
-
Thylén, Ingela,1968-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)ingjo45
(författare)
-
Strömberg, Anna,1967-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annst40
(författare)
-
Hellström Ängerud, KarinUmeå universitet,Institutionen för omvårdnad,Cardiology, Heart Centre, Department of Nursing, Umeå University, Umeå, Sweden(Swepub:umu)kahe0018
(författare)
-
Moser, Debra K.College of Nursing, University of Kentucky, Lexington, KY, USA
(författare)
-
Sederholm Lawesson, Sofia,1973-Linköpings universitet,Medicinska fakulteten,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)sofla80
(författare)
-
Linköpings universitetAvdelningen för diagnostik och specialistmedicin
(creator_code:org_t)
Sammanhörande titlar
-
Ingår i:European Journal of Cardiovascular Nursing: Oxford University Press21:7, s. 694-7011474-51511873-1953
Internetlänk
Hitta via bibliotek
Till lärosätets databas