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Longer pre-hospital...
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Hellström Ängerud, Karin,1967-Umeå universitet,Institutionen för omvårdnad,Kardiologi,Heart Centre ;
(author)
Longer pre-hospital delay in first myocardial infarction among patients with diabetes : an analysis of 4266 patients in the Northern Sweden MONICA Study
- Article/chapterEnglish2013
Publisher, publication year, extent ...
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2013-01-29
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BioMed Central,2013
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:umu-67051
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-67051URI
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https://doi.org/10.1186/1471-2261-13-6DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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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.
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Brulin, Christine,1950-Umeå universitet,Institutionen för omvårdnad(Swepub:umu)chbr0002
(author)
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Näslund, Ulf,1954-Umeå universitet,Kardiologi,Heart Centre ; Arcum(Swepub:umu)ulna0002
(author)
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Eliasson, MatsUmeå universitet,Medicin,Internal Medicine, Sunderbyn, Luleå, Sweden,Arcum(Swepub:umu)mael0021
(author)
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Umeå universitetInstitutionen för omvårdnad
(creator_code:org_t)
Related titles
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In:BMC Cardiovascular Disorders: BioMed Central13:61471-22611471-2261
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