Document Detail


Ambulance use in patients with acute myocardial infarction.
MedLine Citation:
PMID:  14994777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the choice of transportation mode to hospital in patients experiencing acute myocardial infarction. METHOD: A descriptive survey study at the Coronary Care Unit of one Swedish University Hospital. The study was carried out between July 2000 and March 2001. RESULTS: The study population consisted of 114 consecutive patients with acute myocardial infarction. Thirty-two percent stated that they did not know the importance of a short delay when experiencing an acute myocardial infarction. Only 60% called the emergency service number, 112. Patients calling for an ambulance differed from those who did not in several aspects. Medical characteristics associated with ambulance use in a univariate analysis were ST-elevation myocardial infarction and prior history of myocardial infarction. There were no differences regarding gender or age. When looking at the patients' symptom-experience, patients with vertigo or nausea and severe pain chose an ambulance for transport to the hospital. The only significant reasons for not choosing an ambulance were cramping pain and the patient perceiving the symptoms not to be serious. In a multivariate analysis, ST-elevation (OR = 0.30, P = .04), unbearable symptoms (OR = 0.20, P = .03), and nausea (OR = .33, P = .04) appeared as independent predictors of ambulance use and cramping pain (OR = 5.17, P = .01) for not using an ambulance. CONCLUSIONS: Patients with acute myocardial infarction view the ambulance as an option for transportation to hospital only if they feel really sick. For that reason, it needs to be made well known to the public that ambulances are not only a mode of transport, but also provide diagnostics and treatment.
Authors:
Ingela Johansson; Anna Strömberg; Eva Swahn
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  19     ISSN:  0889-4655     ISO Abbreviation:  J Cardiovasc Nurs     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-03-03     Completed Date:  2004-03-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-12     Citation Subset:  IM; N    
Affiliation:
Department of Cardiology, University Hospital, Linköping, Sweden. ingela.johansson@lio.se
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulances / utilization*
Analysis of Variance
Chest Pain / etiology
Choice Behavior
Electrocardiography
Female
Follow-Up Studies
Health Education
Health Knowledge, Attitudes, Practice
Hospitals, University
Humans
Male
Myocardial Infarction / complications,  mortality,  psychology*,  therapy
Nausea / etiology
Needs Assessment
Patient Acceptance of Health Care / psychology*
Questionnaires
Recurrence
Regression Analysis
Sweden / epidemiology
Time Factors
Transportation of Patients / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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