Document Detail


Prehospital delay in patients presenting with acute ST-elevation myocardial infarction.
MedLine Citation:
PMID:  21317785     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To characterize prehospital delays in patients presenting with acute ST-elevation myocardial infarction to the emergency department of a tertiary hospital in Asia. Aretrospective review of 273 patients with diagnosis of ST-elevation myocardial infarction; symptom to door (S2D)time was described in two ways, time from first onsetof symptoms; and time from the onset of the worst episode to presentation at emergency department. The median first onset S2D time was 173 min (interquartile range 80-350 min); and median worst episode S2D time was 131 min (interquartile range 70-261 min). Patients with prehospital delay tended to use their own transport compared with the no delay group (P=0.026, 95% confidence interval=0.02-0.24). There was no difference inS2D times for typical compared with atypical symptoms. Alarge proportion of patients experienced delay in seekingmedical care after the onset of acute coronary symptoms. Self-transport wasassociated withdelay.
Authors:
Choon Chiet Hong; Papia Sultana; Aaron Sung Lung Wong; Kimpoh Chan; Pin Pin Pek; Marcus Eng Hock Ong
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-11
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  -     ISSN:  1473-5695     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
aYong Loo Lin School of Medicine, National University of Singapore bDepartments of Clinical Research cEmergency Medicine, Singapore General Hospital dDepartment of Cardiology, National Heart Centre, Singapore.
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