Emergency Medical Service Use among Patients with Acute ST-segment Elevation Myocardial Infarction in Jeonbuk Province

우선호; 윤경호; 이미림; 김은경; 고점석; 이상재; 이정미; 김남호; 오석규

Emergency Medical Service Use among Patients with Acute ST-segment Elevation Myocardial Infarction in Jeonbuk Province

Recommendations

Search

전북지역 급성 ST 분절 상승 심근경색증 환자의 119 이용 실태

Type: Academic journal

Author: 우선호 윤경호 이미림 김은경 고점석 이상재 이정미 김남호 오석규

Journal: The Korean Association Of Internal Medicine 대한내과학회지 대한내과학회지 제90권 제6호 KCI Candidated Journals

Published: 2016.1

Pages: 507 - 513 (7page)

Usage

Emergency Medical Service Use among Patients with Acute ST-segment Elevation Myocardial Infarction in Jeonbuk Province

Abstract· Keywords

Report Errors

Background/Aims: The use of emergency medical services (EMSs) at the onset of pain, and the relationship between transport type and the treatment delay for acute ST-segment elevation myocardial infarction (STEMI) were evaluated using the Jeonbuk Regional Cardiovascular Center database. Methods: In total, 527 STEMI patients who underwent primary percutaneous coronary intervention (PCI) were enrolled in this study. Basic characteristics, socioeconomic variables, and delay factors were compared between patients that contacted an EMS as first medical contact (FMC) and patients that used other forms of FMC. Results: Only 28.8% of patients used EMS as their FMC. The patients that used EMS showed significantly shorter onset-to-balloon time than those who did not (250.7 ± 366.6 min vs. 405.9 ± 649.8 min, p = 0.001). However, 36.2% of patients that used EMS as FMC were transported to non-PCI-capable centers, which led to significantly prolonged onset-to-balloon time. Multivariate analysis revealed that transfer via another hospital (odds ratio [OR] 2.0, p < 0.001), EMS as FMC (OR 0.4, p < 0.001), age > 65 years (OR 1.9, p = 0.003), and previous history of PCI (OR 0.4, p = 0.033) were independent predictors of pre-hospital delay. Conclusions: EMS used as FMC at the onset of chest pain was an important factor for decreasing treatment delay in patients with STEMI. However, a small number of patients used EMS as FMC, and some patients that used EMS were transported to non-PCI-capable centers. Public campaigns and education are needed to raise the public awareness of STEMI and the use of EMSs.

#심근경색증 #응급 구조 서비스 #시간 요인 #Myocardial infarction #Emergency medical services #Time factors

No content found

References (17)

Add References

Heidenreich PA / 2001 / Trends in treatment and outcomes for acute myocardial infarction : 1975-1995 / Am J Med 110:165~174

Goldberg RJ / 1988 / Incidence and case fatality rates of acute myocardial infarction(1975-1984) : the Worcester Heart Attack Study / Am Heart J 115:761~767

Naylor CD / 1994 / Population-wide mortality trends among patients hospitalized for acute myocardial infarction : the OnZtario experience, 1981-1991 / J Am Coll Cardiol 24:1431~1438

Hiramori K / 1987 / Major cause of death from acute myocardial infarction in a coronary care unit / Jpn Circ J 51:1041~1047

Shibata J / 1987 / Deaths in early phase of acute myocardial infarction and approaches for reducing the in-hospital and out-hospital case-fatality rates of the disease / Jpn Circ J 51:325~331

Recommendations

It is an article recommended by DBpia according to the article similarity. Check out the related articles!