Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi
To determine the time from onset of symptoms to start of fibrinolysis and treatment in acute ST elevated myocardial infarction patients and identify the factors which cause delay in treatment. A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conv...
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| Veröffentlicht in: | Pakistan journal of medical sciences 2020-08, Vol.36 (5), p.914-919 |
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| creator | Jalbani, Faryal Akber Shaikh, Shiraz Fatima, Subhani |
| description | To determine the time from onset of symptoms to start of fibrinolysis and treatment in acute ST elevated myocardial infarction patients and identify the factors which cause delay in treatment.
A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conveniently selected patients of ST elevated myocardial infarction from July to September in the year 2017. Structured questionnaire was used to obtain detailed information on socio-demographics, factors which cause delay and timing of onset of symptoms to arrival of patient in emergency ward.
Overall, the total average time from the start of symptoms to initiation of treatment was 119.85+-63.32 minutes.. Only 5.1% patient reached within one hour while 57.7% reached within two hours. Old age group of 60 and above was positively associated with timely arrival (OR=2.75, 95% CI 1.33-5.68, p=0.006). Significant positive association of using personal car as mode of transport to reach the hospital (OR=5.25, 95% CI 2.94-9.35, p |
| doi_str_mv | 10.12669/pjms.36.5.2104 |
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A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conveniently selected patients of ST elevated myocardial infarction from July to September in the year 2017. Structured questionnaire was used to obtain detailed information on socio-demographics, factors which cause delay and timing of onset of symptoms to arrival of patient in emergency ward.
Overall, the total average time from the start of symptoms to initiation of treatment was 119.85+-63.32 minutes.. Only 5.1% patient reached within one hour while 57.7% reached within two hours. Old age group of 60 and above was positively associated with timely arrival (OR=2.75, 95% CI 1.33-5.68, p=0.006). Significant positive association of using personal car as mode of transport to reach the hospital (OR=5.25, 95% CI 2.94-9.35, p<0.001) was also found as compared to using ambulance. Distance from facility was suggestive of negative association in the model but was statistically insignificant.
According to the findings of this study, more than one third of patients reached the hospital within two hours of initiation of symptoms while only 5.1% reached within one hour. The delay was mostly pre-hospital attributed to arranging transport, stay at first medical contact and time taken from first medical contact to the hospital.</description><identifier>ISSN: 1682-024X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.36.5.2104</identifier><identifier>PMID: 32704263</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Age groups ; Cardiac patients ; Care and treatment ; Data collection ; Demographics ; Females ; Gender ; Heart attack ; Heart attacks ; Hospitals ; Medical research ; Mortality ; Original ; Patients ; Public sector ; Questionnaires ; Regression analysis ; Sample size ; Sociodemographics ; Variables</subject><ispartof>Pakistan journal of medical sciences, 2020-08, Vol.36 (5), p.914-919</ispartof><rights>Copyright: © Pakistan Journal of Medical Sciences.</rights><rights>COPYRIGHT 2020 Knowledge Bylanes</rights><rights>(c)2020 Pakistan Journal of Medical Sciences</rights><rights>Copyright: © Pakistan Journal of Medical Sciences 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372653/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372653/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32704263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jalbani, Faryal Akber</creatorcontrib><creatorcontrib>Shaikh, Shiraz</creatorcontrib><creatorcontrib>Fatima, Subhani</creatorcontrib><title>Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi</title><title>Pakistan journal of medical sciences</title><addtitle>Pak J Med Sci</addtitle><description>To determine the time from onset of symptoms to start of fibrinolysis and treatment in acute ST elevated myocardial infarction patients and identify the factors which cause delay in treatment.
A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conveniently selected patients of ST elevated myocardial infarction from July to September in the year 2017. Structured questionnaire was used to obtain detailed information on socio-demographics, factors which cause delay and timing of onset of symptoms to arrival of patient in emergency ward.
Overall, the total average time from the start of symptoms to initiation of treatment was 119.85+-63.32 minutes.. Only 5.1% patient reached within one hour while 57.7% reached within two hours. Old age group of 60 and above was positively associated with timely arrival (OR=2.75, 95% CI 1.33-5.68, p=0.006). Significant positive association of using personal car as mode of transport to reach the hospital (OR=5.25, 95% CI 2.94-9.35, p<0.001) was also found as compared to using ambulance. Distance from facility was suggestive of negative association in the model but was statistically insignificant.
According to the findings of this study, more than one third of patients reached the hospital within two hours of initiation of symptoms while only 5.1% reached within one hour. The delay was mostly pre-hospital attributed to arranging transport, stay at first medical contact and time taken from first medical contact to the hospital.</description><subject>Age groups</subject><subject>Cardiac patients</subject><subject>Care and treatment</subject><subject>Data collection</subject><subject>Demographics</subject><subject>Females</subject><subject>Gender</subject><subject>Heart attack</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Medical research</subject><subject>Mortality</subject><subject>Original</subject><subject>Patients</subject><subject>Public sector</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Sample size</subject><subject>Sociodemographics</subject><subject>Variables</subject><issn>1682-024X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptks9rFDEUxwdRbK2evUlAEC87ze_sXIRSbBULXhR6C28ymd0sM8maZAr7V_gvm9lua1ckh4S8z_vmvW9eVb0luCZUyuZ8uxlTzWQtakowf1adErkkC0XE7fP9mS4w5bcn1auUNhhzyQV9WZ0wqjCnkp1Wv6-i_TVZb3YIfIc6m20cnQefEwo9ym60QwnF6O5gQDAGv0JbyM4eADBTtmjcBQOxcwVxvodosgseQUaAtlM7OIOSNTlEVNSzg7hDBbdoHdLW5X0S-gYRzNq9rl70MCT75rCfVT-vPv-4_LK4-X799fLiZmE4o3lhZU_arrFSYsqEkr0RHTO4gV40EmTLFe25VKTBZIkxlq1RYtm1dAmiafoOs7Pq071uqW-0nSn9RBj0NrqxlKcDOH0c8W6tV-FOK6aoFKwIfDwIxFAMTFmPLhk7DOBtmJKmnCqGCW9m9P0_6CZM0Zf2CsUVlphx_JdawWB1sTGUd80sqi8kI0si1F6r_g9VVmdHZ4K3vSv3RwkfniSsLQx5ncIwzT-UjsHze9DEkFK0_aMZBOv9sOl52DSTWuh52ErGu6cePvIP08X-AN7v0ZU</recordid><startdate>20200831</startdate><enddate>20200831</enddate><creator>Jalbani, Faryal Akber</creator><creator>Shaikh, Shiraz</creator><creator>Fatima, Subhani</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Professional Medical Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200831</creationdate><title>Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi</title><author>Jalbani, Faryal Akber ; Shaikh, Shiraz ; Fatima, Subhani</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-e6f1bd9e66023576fc5d3c09af596a6b472f467190180006bc758db28a599fd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age groups</topic><topic>Cardiac patients</topic><topic>Care and treatment</topic><topic>Data collection</topic><topic>Demographics</topic><topic>Females</topic><topic>Gender</topic><topic>Heart attack</topic><topic>Heart attacks</topic><topic>Hospitals</topic><topic>Medical research</topic><topic>Mortality</topic><topic>Original</topic><topic>Patients</topic><topic>Public sector</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Sample size</topic><topic>Sociodemographics</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jalbani, Faryal Akber</creatorcontrib><creatorcontrib>Shaikh, Shiraz</creatorcontrib><creatorcontrib>Fatima, Subhani</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</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 China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pakistan journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jalbani, Faryal Akber</au><au>Shaikh, Shiraz</au><au>Fatima, Subhani</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi</atitle><jtitle>Pakistan journal of medical sciences</jtitle><addtitle>Pak J Med Sci</addtitle><date>2020-08-31</date><risdate>2020</risdate><volume>36</volume><issue>5</issue><spage>914</spage><epage>919</epage><pages>914-919</pages><issn>1682-024X</issn><eissn>1681-715X</eissn><abstract>To determine the time from onset of symptoms to start of fibrinolysis and treatment in acute ST elevated myocardial infarction patients and identify the factors which cause delay in treatment.
A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conveniently selected patients of ST elevated myocardial infarction from July to September in the year 2017. Structured questionnaire was used to obtain detailed information on socio-demographics, factors which cause delay and timing of onset of symptoms to arrival of patient in emergency ward.
Overall, the total average time from the start of symptoms to initiation of treatment was 119.85+-63.32 minutes.. Only 5.1% patient reached within one hour while 57.7% reached within two hours. Old age group of 60 and above was positively associated with timely arrival (OR=2.75, 95% CI 1.33-5.68, p=0.006). Significant positive association of using personal car as mode of transport to reach the hospital (OR=5.25, 95% CI 2.94-9.35, p<0.001) was also found as compared to using ambulance. Distance from facility was suggestive of negative association in the model but was statistically insignificant.
According to the findings of this study, more than one third of patients reached the hospital within two hours of initiation of symptoms while only 5.1% reached within one hour. The delay was mostly pre-hospital attributed to arranging transport, stay at first medical contact and time taken from first medical contact to the hospital.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>32704263</pmid><doi>10.12669/pjms.36.5.2104</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age groups Cardiac patients Care and treatment Data collection Demographics Females Gender Heart attack Heart attacks Hospitals Medical research Mortality Original Patients Public sector Questionnaires Regression analysis Sample size Sociodemographics Variables |
| title | Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi |
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