Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study.
Eur Heart J Qual Care Clin Outcomes
; 5(1): 63-71, 2019 01 01.
Article
en En
| MEDLINE
| ID: mdl-29878087
ABSTRACT
Aims:
Few contemporary studies have reported the time between acute myocardial infarction (AMI) symptoms onset and hospital arrival, associated factors, and patient perceptions of AMI symptoms and care seeking. We sought to study these issues using data from China, where AMI hospitalizations are increasing. Methods andresults:
We used data from the China PEACE prospective AMI study of 53 hospitals across 21 provinces in China. Patients were interviewed during index hospitalization for information of symptom onset, and perceived barriers to accessing care. Regression analyses were conducted to explore factors associated with the time between symptom onset and hospital arrival. The final sample included 3434 patients (mean age 61 years). The median time from symptom onset to hospital arrival was 4 h (interquartile range 2-7.5 h). While 94% of patients reported chest pain or chest discomfort, only 43% perceived symptoms as heart-related. In multivariable analyses, time to hospital arrival was longer by 14% and 39% for patients failing to recognize symptoms as cardiac and those with rural medical insurance, respectively (both P < 0.001). Compared with patients with household income over 100 000 RMB, those with income of 10 000-50 000 RMB, and <10 000 RMB had 16% and 23% longer times, respectively (both P = 0.03).Conclusion:
We reported an average time to hospital arrival of 4 h for AMI in China, with longer time associated with rural medical insurance, failing to recognize symptoms as cardiac, and low household income. Strategies to improve the timeliness of presentation may be essential to improving outcomes for AMI in China. Clinical trial registration https//clinicaltrials.gov/ct2/show/NCT01624909.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Aceptación de la Atención de Salud
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Servicio de Urgencia en Hospital
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Tiempo de Tratamiento
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Infarto del Miocardio
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Eur Heart J Qual Care Clin Outcomes
Año:
2019
Tipo del documento:
Article
País de afiliación:
China