지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.7
- 수록면
- 710 - 719 (10page)
- DOI
- 10.3349/ymj.2017.58.4.710
이용수
초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (43)
참고문헌 신청
Bulluck H / 2016 / Reducing myocardial infarct size: challenges and future opportunities / Heart 102:341~348
Antman EM / 2004 / ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction) / J Am Coll Cardiol 44:E1~E211
백용수 / 2015 / Clinical and Angiographic Predictors of Microvascular Dysfunction in ST-Segment Elevation Myocardial Infarction / Yonsei Medical Journal 56(5):1235~1243
Nguyen HL / 2010 / Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction: a systematic review / Circ Cardiovasc Qual Outcomes 3:82~92
Goldberg RJ / 2009 / Prehospital delay in patients with acute coronary syndromes (from the Global Registry of Acute Coronary Events [GRACE]) / Am J Cardiol 103:598~603
Antman EM / 2004 / ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction) / J Am Coll Cardiol 44:E1~E211
백용수 / 2015 / Clinical and Angiographic Predictors of Microvascular Dysfunction in ST-Segment Elevation Myocardial Infarction / Yonsei Medical Journal 56(5):1235~1243
Nguyen HL / 2010 / Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction: a systematic review / Circ Cardiovasc Qual Outcomes 3:82~92
Goldberg RJ / 2009 / Prehospital delay in patients with acute coronary syndromes (from the Global Registry of Acute Coronary Events [GRACE]) / Am J Cardiol 103:598~603
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