PMC:2652658 / 144-1522 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/2652658","sourcedb":"PMC","sourceid":"2652658","source_url":"https://www.ncbi.nlm.nih.gov/pmc/2652658","text":"Background\nPre-hospital delays in patients experiencing acute coronary syndromes (ACS) remain unacceptably long.\n\nAims\nTo examine simultaneously a wide range of clinical, sociodemographic and situational factors associated with total pre-hospital delay and its two components.\n\nMethods\nPre-hospital delay data were collected from 228 patients with ACS using patient's medical notes and semi-structured interviews. Total pre-hospital delay (symptom onset to hospital admission) was divided into 2 components: decision time (symptom onset to call for medical help), and home-to-hospital delay (call for help to hospital admission).\n\nResults\nShorter total pre-hospital delays and decision times were associated with ST segment myocardial infarction (STEMI), recognizing symptoms as cardiac in origin, being married, symptom onset outside the home and the presence of a bystander. Shorter home-to-hospital delays were more likely among younger patients, those experiencing an STEMI, and patients reporting a greater number of symptoms. Initial contact with emergency medical services was related to shorter total delays and decision times.\n\nConclusions\nDifferent factors were associated with shorter times in the 2 component phases. Greater understanding of the factors impacting on the component phases may help target interventions more effectively and reduce pre-hospital delays.","divisions":[{"label":"sec","span":{"begin":0,"end":112}},{"label":"title","span":{"begin":0,"end":10}},{"label":"p","span":{"begin":11,"end":112}},{"label":"sec","span":{"begin":114,"end":276}},{"label":"title","span":{"begin":114,"end":118}},{"label":"p","span":{"begin":119,"end":276}},{"label":"sec","span":{"begin":278,"end":629}},{"label":"title","span":{"begin":278,"end":285}},{"label":"p","span":{"begin":286,"end":629}},{"label":"sec","span":{"begin":631,"end":1135}},{"label":"title","span":{"begin":631,"end":638}},{"label":"p","span":{"begin":639,"end":1135}},{"label":"title","span":{"begin":1137,"end":1148}}],"tracks":[]}