Sökning: onr:"swepub:oai:DiVA.org:umu-67051" >
Longer pre-hospital...
Longer pre-hospital delay in first myocardial infarction among patients with diabetes : an analysis of 4266 patients in the Northern Sweden MONICA Study
-
- Hellström Ängerud, Karin, 1967- (författare)
- Umeå universitet,Institutionen för omvårdnad,Kardiologi,Heart Centre ;
-
- Brulin, Christine, 1950- (författare)
- Umeå universitet,Institutionen för omvårdnad
-
- Näslund, Ulf, 1954- (författare)
- Umeå universitet,Kardiologi,Heart Centre ; Arcum
-
visa fler...
-
- Eliasson, Mats (författare)
- Umeå universitet,Medicin,Internal Medicine, Sunderbyn, Luleå, Sweden,Arcum
-
visa färre...
-
(creator_code:org_t)
- 2013-01-29
- 2013
- Engelska.
-
Ingår i: BMC Cardiovascular Disorders. - : BioMed Central. - 1471-2261 .- 1471-2261. ; 13:6
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
http://www.biomedcen...
-
https://umu.diva-por... (primary) (Raw object)
-
https://bmccardiovas...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: Reperfusion therapy reduces both morbidity and mortality in myocardial infarction, but the effectiveness depends on how fast the patient receives treatment. Despite the time-dependent effectiveness of reperfusion therapy, many patients with myocardial infarction have delays in seeking medical care. The aim of this study was to describe pre-hospital delay in a first myocardial infarction among men and women with and without diabetes and to describe the association between pre-hospital delay time and diabetes, sex, age, symptoms and size of residential area as a proxy for distance to hospital.Methods: This population based study was based on data from 4266 people aged 25-74 years, with a first myocardial infarction registered in the Northern Sweden MONICA myocardial infarction registry between 2000 and 2008.Results: The proportion of patients with delay times >= 2 h was 64% for patients with diabetes and 58% for patients without diabetes. There was no difference in delay time >= 2 h between men and women with diabetes. Diabetes, older age and living in a town or rural areas were factors associated with pre-hospital delay times >= 2 h. Atypical symptoms were not a predictor for pre-hospital delay times >= 2 h, OR 0.59 (0.47; 0.75).Conclusions: A higher proportion of patients with diabetes have longer pre-hospital delay in myocardial infarction than patients without diabetes. There are no differences in pre-hospital delay between men and women with diabetes. The largest risk difference for pre-hospital delay >= 2 h is between women with and without diabetes. Diabetes, older age and living in a town or rural area are predictors for pre-hospital delay >= 2 h.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Myocardial infarction
- Diabetes mellitus
- Pre-hospital delay
- Sex differences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas