Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction
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초록
Purpose: The aim of our study was to investigate gender differences in factors related to prehospital delay and identify whether the knowledge of acute myocardial infarction symptoms affects this delay in Korean patients with ST-elevation myocardial infarction(STEMI). Materials and Methods: A total of 350 patients (286 men, 64 women) with confirmed STEMI were interviewed to investigate socio-demographics, history of disease, symptom onset time, and factors that contributed to delayed decision time in seeking treatment and hospital arrival time from symptom onset. Factors associated with prehospital delay were examined separately by gender using univariate and multivariate analyses. Results: Female patients had higher proportions of ≥60-minute decision time and ≥120-minute arrival time compared to male patients (33.9% vs. 23.1%, 60.9% vs. 52.1%, respectively). However, the difference was not statistically significant (p=0.093 and 0.214, respectively). Previous cardiovascular disease (CVD) was associated with increased decision time in men, whereas, in women, lower educational status caused a greater delay in decision time. Factors associated with hospital arrival time excluding delayed decision time were referral from another hospital, previous CVD, and percutaneous coronary intervention in men, and referral from another hospital in women. Conclusion: Gender differences exist in factors related to prehospital delay. Therefore, public education to reduce prehospital delay should be conducted according to gender with a focus on the pertinent factors.
Abstract
Purpose: The aim of our study was to investigate gender differences in factors related to prehospital delay and identify whether the knowledge of acute myocardial infarction symptoms affects this delay in Korean patients with ST-elevation myocardial infarction(STEMI). Materials and Methods: A total of 350 patients (286 men, 64 women) with confirmed STEMI were interviewed to investigate socio-demographics, history of disease, symptom onset time, and factors that contributed to delayed decision time in seeking treatment and hospital arrival time from symptom onset. Factors associated with prehospital delay were examined separately by gender using univariate and multivariate analyses. Results: Female patients had higher proportions of ≥60-minute decision time and ≥120-minute arrival time compared to male patients (33.9% vs. 23.1%, 60.9% vs. 52.1%, respectively). However, the difference was not statistically significant (p=0.093 and 0.214, respectively). Previous cardiovascular disease (CVD) was associated with increased decision time in men, whereas, in women, lower educational status caused a greater delay in decision time. Factors associated with hospital arrival time excluding delayed decision time were referral from another hospital, previous CVD, and percutaneous coronary intervention in men, and referral from another hospital in women. Conclusion: Gender differences exist in factors related to prehospital delay. Therefore, public education to reduce prehospital delay should be conducted according to gender with a focus on the pertinent factors.
참고문헌 (43)
- Bulluck H, "Reducing myocardial infarct size: challenges and future opportunities", Heart, 102, pp.341~348 (2016)
- Antman EM, "ACC", AHA guidelines for the management of patients with ST-elevation myocardial infarction; A report of the American College of Cardiology, J Am Coll Cardiol, pp.2004, 44[DOI]
- 백용수, "Clinical and Angiographic Predictors of Microvascular Dysfunction in ST-Segment Elevation Myocardial Infarction", Yonsei Medical Journal, 56(5), pp.1235~1243 (2015), 연세대학교의과대학[DOI]
- Nguyen HL, "Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction: a systematic review", Circ Cardiovasc Qual Outcomes, 3, pp.82~92 (2010)
- ), "Am J Cardiol", 2009, 598~603
- Peng YG, "Factors associated with prehospital delay in patients with ST-segment elevation acute myocardial infarction in China", Am J Emerg Med, 32, pp.349~355 (2014)
- Løvlien M, "Prehospital delay, contributing aspects and responses to symptoms among Norwegian women and men with first time acute myocardial infarction", Eur J Cardiovasc Nurs, 6, pp.308~313 (2007)
- Isaksson RM, "Time trends in symptoms and prehospital delay time in women vs. men with myocardial infarction over a 15-year period. The Northern Sweden MONICA Study", Eur J Cardiovasc Nurs, 7, pp.152~158 (2008)
- Fukuoka Y, "Prehospital delay and independent", interdependent construal of self among Japanese patients with acute myocardial infarction, 2005, pp.60, 2025~2034
- 박용환, "Factors Related to Prehospital Time Delay in Acute ST-Segment Elevation Myocardial Infarction", Journal of Korean Medical Science, 27(8), pp.864~869 (2012), 대한의학회
- Hwang SY, "Impact of prodromal symptoms on prehospital delay in patients with first-time acute myocardial infarction in Korea", J Cardiovasc Nurs, 26, pp.194~201 (2011)
- Goldberg RJ, "Extent of, and factors associated with, delay to hospital presentation in patients with acute coronary disease (the GRACE registry)", Am J Cardiol, 89, pp.791~796 (2002)
- Dracup K, "Causes of delay in seeking treatment for heart attack symptoms", Soc Sci Med, 40, pp.379~392 (1995)
- Moser DK, "Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council", Circulation, 114, pp.168~182 (2006)
- DeVon HA, "Classifying subgroups of patients with symptoms of acute coronary syndromes: a cluster analysis", Res Nurs Health, 33, pp.386~397 (2010)
- Meischke H, "Gender differences in reported symptoms for acute myocardial infarction: impact on prehospital delay time interval", Am J Emerg Med, 16, pp.363~366 (1998)
- Moser DK, "Gender differences in reasons patients delay in seeking treatment for acute myocardial infarction symptoms", Patient Educ Couns, 56, pp.45~54 (2005)
- Goff DC Jr, "Prehospital delay in patients hospitalized with heart attack symptoms in the United States: the REACT trial. Rapid Early Action for Coronary Treatment (REACT)Study Group", Am Heart J, 138(6 Pt 1), pp.1046~1057 (1999)
- Goldberg RJ, "Decade-long trends and factors associated with time to hospital presentation in patients with acute myocardial infarction: the Worcester Heart Attack study", Arch Intern Med, 160, pp.3217~3223 (2000)
- Jneid H, "Sex differences in medical care and early death after acute myocardial infarction", Circulation, 118, pp.2803~2810 (2008)
- American College of Emergency Physicians, "2013 ACCF", AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation, J Am Coll Cardiol, pp.2013, 61[DOI]
- Rosengren A, "Sex, age, and clinical presentation of acute coronary syndromes", Eur Heart J, 25, pp.663~670 (2004)
- Canto JG, "Symptom presentation of women with acute coronary syndromes: myth vs reality", Arch Intern Med, 167, pp.2405~2413 (2007)
- Hailer B, "Gender-related differences in patients with ST-elevation myocardial infarction: results from the registry study of the ST elevation myocardial infarction network Essen", Clin Cardiol, 34, pp.294~301 (2011)
- Canto JG, "Association of age and sex with myocardial infarction symptom presentation and in-hospital mortality", JAMA, 307, pp.813~822 (2012)
- Walsh JC, "Factors influencing the decision to seek treatment for symptoms of acute myocardial infarction:an evaluation of the Self-Regulatory Model of illness behaviour", J Psychosom Res, 56, pp.67~73 (2004)
- McGinn AP, "Trends in prehospital delay time and use of emergency medical services for acute myocardial infarction: experience in 4 US communities from 1987-2000", Am Heart J, 150, pp.392~400 (2005)
- Ting HH, "Factors associated with longer time from symptom onset to hospital presentation for patients with ST-elevation myocardial infarction", Arch Intern Med, 168, pp.959~968 (2008)
- McKee G, "Multivariate analysis of predictors of pre-hospital delay in acute coronary syndrome", Int J Cardiol, 168, pp.2706~2713 (2013)
- Heer T, "Gender differences in acute non-ST-segment elevation myocardial infarction", Am J Cardiol, 98, pp.160~166 (2006)
- Løvlien M, "Myocardial infarction: psychosocial aspects, gender differences and impact on pre-hospital delay", J Adv Nurs, 63, pp.148~154 (2008)
- Grace SL, "Presentation, delay, and contraindication to thrombolytic treatment in females and males with myocardial infarction", Womens Health Issues, 13, pp.214~221 (2003)
- Dracup K, "Beyond sociodemographics: factors influencing the decision to seek treatment for symptoms of acute myocardial infarction", Heart Lung, 26, pp.253~262 (1997)
- McKinley S, "Treatment-seeking behavior for acute myocardial infarction symptoms in North America and Australia", Heart Lung, 29, pp.237~247 (2000)
- Heer T, "Gender differences in acute myocardial infarction in the era of reperfusion (the MITRA registry)", Am J Cardiol, 89, pp.511~517 (2002)
- O’Donnell S, "Prehospital care pathway delays: gender and myocardial infarction", J Adv Nurs, 53, pp.268~276 (2006)
- Mooney M, "A randomized controlled trial to reduce prehospital delay time in patients with acute coronary syndrome (ACS)", J Emerg Med, 46, pp.495~506 (2014)
- Kirchberger I, "Mismatch of presenting symptoms at first and recurrent acute myocardial infarction. From the MONICA", KORA Myocardial Infarction Registry, 2016, pp.23, 377~384
- Zhang B, "Gender and age differences associated with prehospital delay in Chinese patients presenting with ST-elevation myocardial infarction", J Cardiovasc Nurs, 31, pp.142~150 (2016)
- Song L, "Impact of patients’ symptom interpretation on care-seeking behaviors of patients with acute myocardial infarction", Chin Med J (Engl), 123, pp.1840~1845 (2010)
- Nguyen HL, "Age and sex differences and 20-year trends (1986 to 2005)in prehospital delay in patients hospitalized with acute myocardial infarction", Circ Cardiovasc Qual Outcomes, 3, pp.590~598 (2010)
- Johansson I, "Factors related to delay times in patients with suspected acute myocardial infarction", Heart Lung, 33, pp.291~300 (2004)
- Perkins-Porras L, "Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home-to-hospital delay", Eur J Cardiovasc Nurs, 8, pp.26~33 (2009)