An initial analysis: working hours and delay in seeking care during acute coronary events
Abstract Background The purpose of the study was to examine the association between working hours, job strain, and duration of prehospital delay in seeking care by employed patients with acute coronary syndrome (ACS) in the United States and Japan. Design and Subjects In this cross-sectional study,...
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| Veröffentlicht in: | The American journal of emergency medicine 2010-07, Vol.28 (6), p.734-740 |
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| creator | Fukuoka, Yoshimi, PhD, RN Takeshima, Masako, BS, RN Ishii, Noriko, RN Chikako, Miura, MS, RN Makaya, Miyuki, PhD, RN Groah, Linda, MS, RN Kyriakidis, Erick, MD Dracup, Kathleen, DNSc, RN |
| description | Abstract Background The purpose of the study was to examine the association between working hours, job strain, and duration of prehospital delay in seeking care by employed patients with acute coronary syndrome (ACS) in the United States and Japan. Design and Subjects In this cross-sectional study, a total of 234 consecutive patients (Americans, n = 148; mean age, 50.7 [SD ± 7.1] years and 73.6% male, and Japanese, n = 86; mean age, 56.3 [SD ± 11.0] years and 93.0% male) admitted with ACS who worked more than 20 h/wk were recruited. A structured interview was conducted while patients were hospitalized to assess prehospital delay time, ambulance use, number of working hours per week, and job strain. Results In the US sample, the median delay time was 4.4 hours, whereas in the Japanese sample, the median delay time was 8.3 hours. Average working hours per week in the US and Japanese samples were 49.7 (SD ± 13.2) hours and 55.1 (SD ± 19.5) hours, respectively. In multivariate analysis, the interaction between working hours and nationality on log-transformed delay time was significant ( P = .001) after controlling for potential confounding factors. Among the Japanese sample, for every 1-hour increase in working hours per week, prehospital delay increased by approximately 4% (95% confidence interval [CI]; 1.0%-7% [ P = .003]). However, among the US sample, no association was found (−2.0%; 95% CI, −4.0% to 0%; P = .08). Conclusions These findings support the need for worksite educational programs, particularly in Japan, that encourage a rapid response to acute cardiac symptoms. |
| doi_str_mv | 10.1016/j.ajem.2009.06.020 |
| format | Article |
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Design and Subjects In this cross-sectional study, a total of 234 consecutive patients (Americans, n = 148; mean age, 50.7 [SD ± 7.1] years and 73.6% male, and Japanese, n = 86; mean age, 56.3 [SD ± 11.0] years and 93.0% male) admitted with ACS who worked more than 20 h/wk were recruited. A structured interview was conducted while patients were hospitalized to assess prehospital delay time, ambulance use, number of working hours per week, and job strain. Results In the US sample, the median delay time was 4.4 hours, whereas in the Japanese sample, the median delay time was 8.3 hours. Average working hours per week in the US and Japanese samples were 49.7 (SD ± 13.2) hours and 55.1 (SD ± 19.5) hours, respectively. In multivariate analysis, the interaction between working hours and nationality on log-transformed delay time was significant ( P = .001) after controlling for potential confounding factors. Among the Japanese sample, for every 1-hour increase in working hours per week, prehospital delay increased by approximately 4% (95% confidence interval [CI]; 1.0%-7% [ P = .003]). However, among the US sample, no association was found (−2.0%; 95% CI, −4.0% to 0%; P = .08). Conclusions These findings support the need for worksite educational programs, particularly in Japan, that encourage a rapid response to acute cardiac symptoms.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2009.06.020</identifier><identifier>PMID: 20637393</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute Coronary Syndrome - diagnosis ; Acute Coronary Syndrome - epidemiology ; Acute Coronary Syndrome - psychology ; Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical death. Palliative care. Organ gift and preservation ; Cross-Sectional Studies ; Emergency ; Emergency medical care ; Emergency Service, Hospital ; Employment ; Female ; Health Knowledge, Attitudes, Practice ; Heart attacks ; Humans ; Intensive care medicine ; Japan ; Male ; Medical sciences ; Middle Aged ; Multivariate analysis ; Occupational health ; Occupational stress ; Patient Acceptance of Health Care ; Risk Factors ; Stress ; Stress, Psychological - complications ; Time Factors ; United States ; Working hours ; Workload</subject><ispartof>The American journal of emergency medicine, 2010-07, Vol.28 (6), p.734-740</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-612da85d0d4d311d82f5ff075d98b00b7064bc68061c166bc42103064c2f66123</citedby><cites>FETCH-LOGICAL-c534t-612da85d0d4d311d82f5ff075d98b00b7064bc68061c166bc42103064c2f66123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1030929992?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23038806$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20637393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fukuoka, Yoshimi, PhD, RN</creatorcontrib><creatorcontrib>Takeshima, Masako, BS, RN</creatorcontrib><creatorcontrib>Ishii, Noriko, RN</creatorcontrib><creatorcontrib>Chikako, Miura, MS, RN</creatorcontrib><creatorcontrib>Makaya, Miyuki, PhD, RN</creatorcontrib><creatorcontrib>Groah, Linda, MS, RN</creatorcontrib><creatorcontrib>Kyriakidis, Erick, MD</creatorcontrib><creatorcontrib>Dracup, Kathleen, DNSc, RN</creatorcontrib><title>An initial analysis: working hours and delay in seeking care during acute coronary events</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Background The purpose of the study was to examine the association between working hours, job strain, and duration of prehospital delay in seeking care by employed patients with acute coronary syndrome (ACS) in the United States and Japan. Design and Subjects In this cross-sectional study, a total of 234 consecutive patients (Americans, n = 148; mean age, 50.7 [SD ± 7.1] years and 73.6% male, and Japanese, n = 86; mean age, 56.3 [SD ± 11.0] years and 93.0% male) admitted with ACS who worked more than 20 h/wk were recruited. A structured interview was conducted while patients were hospitalized to assess prehospital delay time, ambulance use, number of working hours per week, and job strain. Results In the US sample, the median delay time was 4.4 hours, whereas in the Japanese sample, the median delay time was 8.3 hours. Average working hours per week in the US and Japanese samples were 49.7 (SD ± 13.2) hours and 55.1 (SD ± 19.5) hours, respectively. In multivariate analysis, the interaction between working hours and nationality on log-transformed delay time was significant ( P = .001) after controlling for potential confounding factors. Among the Japanese sample, for every 1-hour increase in working hours per week, prehospital delay increased by approximately 4% (95% confidence interval [CI]; 1.0%-7% [ P = .003]). However, among the US sample, no association was found (−2.0%; 95% CI, −4.0% to 0%; P = .08). Conclusions These findings support the need for worksite educational programs, particularly in Japan, that encourage a rapid response to acute cardiac symptoms.</description><subject>Acute Coronary Syndrome - diagnosis</subject><subject>Acute Coronary Syndrome - epidemiology</subject><subject>Acute Coronary Syndrome - psychology</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Cross-Sectional Studies</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Employment</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Japan</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Occupational health</subject><subject>Occupational stress</subject><subject>Patient Acceptance of Health Care</subject><subject>Risk Factors</subject><subject>Stress</subject><subject>Stress, Psychological - complications</subject><subject>Time Factors</subject><subject>United States</subject><subject>Working hours</subject><subject>Workload</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kl-L1TAQxYMo7nX1C_ggBRGfWidJm7YiwrL4DxZ8UEGfQm4y1XR72zXTrtxv79R7dWEffEqY_M4k52SEeCyhkCDNi75wPe4KBdAWYApQcEdsZKVV3sha3hUbqHWVm7qqT8QDoh5AyrIq74sTBUbXutUb8e1szOIY5-iGzI1u2FOkl9mvKV3G8Xv2Y1oScT1kAQe3ZzIjxD9H3iXMwpLWvfPLjJmf0jS6tM_wGseZHop7nRsIHx3XU_Hl7ZvP5-_zi4_vPpyfXeS-0uWcG6mCa6oAoQxaytCoruo6qKvQNluAbQ2m3HrTgJFeGrP1pZKguehVZ1isT8XzQ9-rNP1ckGa7i-RxGNyI00K21iWwoKqZfHqL7Nkfmya7tmxV27ZrP3WgfJqIEnb2KsUd-2LIrrnb3q652zV3C8Zy7ix6cmy9bHcY_kn-Bs3AsyPgyLuhS270kW44Dbphj8y9OnDIkV1HTJZ8xNFjiAn9bMMU__-O17fkfuDv5RsvcY9049eSsmA_rROyDgi0nJFUX_VvQDmzwg</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Fukuoka, Yoshimi, PhD, RN</creator><creator>Takeshima, Masako, BS, RN</creator><creator>Ishii, Noriko, RN</creator><creator>Chikako, Miura, MS, RN</creator><creator>Makaya, Miyuki, PhD, RN</creator><creator>Groah, Linda, MS, RN</creator><creator>Kyriakidis, Erick, MD</creator><creator>Dracup, Kathleen, DNSc, RN</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>An initial analysis: working hours and delay in seeking care during acute coronary events</title><author>Fukuoka, Yoshimi, PhD, RN ; Takeshima, Masako, BS, RN ; Ishii, Noriko, RN ; Chikako, Miura, MS, RN ; Makaya, Miyuki, PhD, RN ; Groah, Linda, MS, RN ; Kyriakidis, Erick, MD ; Dracup, Kathleen, DNSc, RN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-612da85d0d4d311d82f5ff075d98b00b7064bc68061c166bc42103064c2f66123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Acute Coronary Syndrome - diagnosis</topic><topic>Acute Coronary Syndrome - epidemiology</topic><topic>Acute Coronary Syndrome - psychology</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Cross-Sectional Studies</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital</topic><topic>Employment</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Japan</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Occupational health</topic><topic>Occupational stress</topic><topic>Patient Acceptance of Health Care</topic><topic>Risk Factors</topic><topic>Stress</topic><topic>Stress, Psychological - complications</topic><topic>Time Factors</topic><topic>United States</topic><topic>Working hours</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fukuoka, Yoshimi, PhD, RN</creatorcontrib><creatorcontrib>Takeshima, Masako, BS, RN</creatorcontrib><creatorcontrib>Ishii, Noriko, RN</creatorcontrib><creatorcontrib>Chikako, Miura, MS, RN</creatorcontrib><creatorcontrib>Makaya, Miyuki, PhD, RN</creatorcontrib><creatorcontrib>Groah, Linda, MS, RN</creatorcontrib><creatorcontrib>Kyriakidis, Erick, MD</creatorcontrib><creatorcontrib>Dracup, Kathleen, DNSc, RN</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fukuoka, Yoshimi, PhD, RN</au><au>Takeshima, Masako, BS, RN</au><au>Ishii, Noriko, RN</au><au>Chikako, Miura, MS, RN</au><au>Makaya, Miyuki, PhD, RN</au><au>Groah, Linda, MS, RN</au><au>Kyriakidis, Erick, MD</au><au>Dracup, Kathleen, DNSc, RN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An initial analysis: working hours and delay in seeking care during acute coronary events</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>28</volume><issue>6</issue><spage>734</spage><epage>740</epage><pages>734-740</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>Abstract Background The purpose of the study was to examine the association between working hours, job strain, and duration of prehospital delay in seeking care by employed patients with acute coronary syndrome (ACS) in the United States and Japan. Design and Subjects In this cross-sectional study, a total of 234 consecutive patients (Americans, n = 148; mean age, 50.7 [SD ± 7.1] years and 73.6% male, and Japanese, n = 86; mean age, 56.3 [SD ± 11.0] years and 93.0% male) admitted with ACS who worked more than 20 h/wk were recruited. A structured interview was conducted while patients were hospitalized to assess prehospital delay time, ambulance use, number of working hours per week, and job strain. Results In the US sample, the median delay time was 4.4 hours, whereas in the Japanese sample, the median delay time was 8.3 hours. Average working hours per week in the US and Japanese samples were 49.7 (SD ± 13.2) hours and 55.1 (SD ± 19.5) hours, respectively. In multivariate analysis, the interaction between working hours and nationality on log-transformed delay time was significant ( P = .001) after controlling for potential confounding factors. Among the Japanese sample, for every 1-hour increase in working hours per week, prehospital delay increased by approximately 4% (95% confidence interval [CI]; 1.0%-7% [ P = .003]). However, among the US sample, no association was found (−2.0%; 95% CI, −4.0% to 0%; P = .08). Conclusions These findings support the need for worksite educational programs, particularly in Japan, that encourage a rapid response to acute cardiac symptoms.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20637393</pmid><doi>10.1016/j.ajem.2009.06.020</doi><tpages>7</tpages></addata></record> |
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| subjects | Acute Coronary Syndrome - diagnosis Acute Coronary Syndrome - epidemiology Acute Coronary Syndrome - psychology Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical death. Palliative care. Organ gift and preservation Cross-Sectional Studies Emergency Emergency medical care Emergency Service, Hospital Employment Female Health Knowledge, Attitudes, Practice Heart attacks Humans Intensive care medicine Japan Male Medical sciences Middle Aged Multivariate analysis Occupational health Occupational stress Patient Acceptance of Health Care Risk Factors Stress Stress, Psychological - complications Time Factors United States Working hours Workload |
| title | An initial analysis: working hours and delay in seeking care during acute coronary events |
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