Hye Mi Ahn; Hyeongsu Kim; Kun Sei Lee; Jung Hyun Lee; Hyo Seon Jeong; Soung Hoon Chang; Kyeong Ryong Lee; Sung Hea Kim; Eun Young Shin

doi:10.4040/jkan.2016.46.6.804

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Original Article
Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction: Hye Mi Ahn, Hyeongsu Kim, Kun Sei Lee, Jung Hyun Lee, Hyo Seon Jeong, Soung Hoon Chang, Kyeong Ryong Lee, Sung Hea Kim, Eun Young Shin; Journal of Korean Academy of Nursing 2016;46(6):804-812.
DOI: https://doi.org/10.4040/jkan.2016.46.6.804
Published online: December 30, 2016

¹Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.

²Department of Emergency Medicine, School of Medicine, Konkuk University, Seoul, Korea.

³Department of Internal Medicine, School of Medicine, Konkuk University, Seoul, Korea.

⁴Department of Public Health Administration, Hanyang Women's University, Seoul, Korea.

Address reprint requests to: Kim, Hyeongsu. Department of Preventive Medicine, School of Medicine, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Korea. Tel: +82-2-2030-7942, Fax: +82-2-2049-6192, mubul@kku.ac.kr

• Received: April 13, 2016 • Revised: August 31, 2016 • Accepted: September 4, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI).
Methods
Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour.
Results
After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation.
Conclusion
Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center driectly should be implemented for patients and/or caregivers.
Keywords: Myocardial infarction; Symptoms; Emergency medical services

The authors declared no conflict of interest.

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Figure 1

Selection process of study subjects.

Table 1

Comparison of Arrival Rate with Variables of Study Population

^*p-value for differences by χ² test; NHI=National Health Insurance; EMS=Emergency Medical Service.

Table 2

Logistic Regression for Delay related Variables

NHI=National Health Insurance; EMS=Emergency Medical Service.

Figure & Data

REFERENCES

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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction

J Korean Acad Nurs. 2016;46(6):804-812. Published online December 30, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.6.804

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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction

Figure 1 Selection process of study subjects.

Figure 1

Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction

Table 1

Comparison of Arrival Rate with Variables of Study Population

^*p-value for differences by χ² test; NHI=National Health Insurance; EMS=Emergency Medical Service.

Table 2

Logistic Regression for Delay related Variables

NHI=National Health Insurance; EMS=Emergency Medical Service.

Table 1 Comparison of Arrival Rate with Variables of Study Population

^*p-value for differences by χ² test; NHI=National Health Insurance; EMS=Emergency Medical Service.

Table 2 Logistic Regression for Delay related Variables

NHI=National Health Insurance; EMS=Emergency Medical Service.