Factors associated with patient decision time in ST-segment elevation myocardial infarction, in early and late responders: an observational cross-sectional survey study

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: onr:"swepub:oai:DiVA.org:umu-196924" > Factors associated ...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Ericsson, Maria,1970-Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US (author)

Factors associated with patient decision time in ST-segment elevation myocardial infarction, in early and late responders : an observational cross-sectional survey study

Article/chapterEnglish2022

Publisher, publication year, extent ...

2022-02-09
Oxford University Press,2022
printrdacarrier

Numbers

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

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Acute coronary syndrome
Care seeking
Decision-making
Pre-hospital delay
Symptom recognition
Symptom response

Added entries (persons, corporate bodies, meetings, titles ...)

Thylén, Ingela,1968-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)ingjo45 (author)
Strömberg, Anna,1967-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annst40 (author)
Hellström Ängerud, KarinUmeå universitet,Institutionen för omvårdnad,Cardiology, Heart Centre, Department of Nursing, Umeå University, Umeå, Sweden(Swepub:umu)kahe0018 (author)
Moser, Debra K.College of Nursing, University of Kentucky, Lexington, KY, USA (author)
Sederholm Lawesson, Sofia,1973-Linköpings universitet,Medicinska fakulteten,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)sofla80 (author)
Linköpings universitetAvdelningen för diagnostik och specialistmedicin (creator_code:org_t)

Related titles

In:European Journal of Cardiovascular Nursing: Oxford University Press21:7, s. 694-7011474-51511873-1953

Internet link

Find in a library

European Journal of Cardiovascular Nursing (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Ericsson, Maria, ...; Thylén, Ingela, ...; Strömberg, Anna, ...; Hellström Ängeru ...; Moser, Debra K.; Sederholm Lawess ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

Articles in the publication: European Journal ...

By the university: Umeå University; Linköping University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se