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Tytuł pozycji:

Prevalence and Predictors of Delay in Seeking Emergency Care in Patients Who Call 9-1-1 for Chest Pain.

Tytuł:
Prevalence and Predictors of Delay in Seeking Emergency Care in Patients Who Call 9-1-1 for Chest Pain.
Autorzy:
Frisch SO; Department of Acute and Tertiary Care Nursing, School of Nursing, Pittsburgh, Pennsylvania; University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Faramand Z; Department of Acute and Tertiary Care Nursing, School of Nursing, Pittsburgh, Pennsylvania; Emergency Medicine at University of Pittsburgh, Pittsburgh, Pennsylvania.
Li H; Department of Health and Community Systems, School of Nursing, Pittsburgh, Pennsylvania.
Abu-Jaradeh O; Department of Acute and Tertiary Care Nursing, School of Nursing, Pittsburgh, Pennsylvania.
Martin-Gill C; University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; Emergency Medicine at University of Pittsburgh, Pittsburgh, Pennsylvania.
Callaway C; University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; Emergency Medicine at University of Pittsburgh, Pittsburgh, Pennsylvania.
Al-Zaiti S; Department of Acute and Tertiary Care Nursing, School of Nursing, Pittsburgh, Pennsylvania; Emergency Medicine at University of Pittsburgh, Pittsburgh, Pennsylvania.
Źródło:
The Journal of emergency medicine [J Emerg Med] 2019 Nov; Vol. 57 (5), pp. 603-610. Date of Electronic Publication: 2019 Oct 12.
Typ publikacji:
Journal Article; Observational Study
Język:
English
Imprint Name(s):
Publication: <2010>- : New York : Elsevier
Original Publication: New York : Pergamon Press, c1983-
MeSH Terms:
Help-Seeking Behavior*
Prevalence*
Chest Pain/*psychology
Adult ; Aged ; Aged, 80 and over ; Chest Pain/therapy ; Cohort Studies ; Delayed Diagnosis ; Emergency Medical Services/methods ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Prospective Studies ; Time Factors
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Grant Information:
R01 HL137761 United States HL NHLBI NIH HHS; T32 NR008857 United States NR NINR NIH HHS
Contributed Indexing:
Keywords: acute coronary syndrome; chest pain; delay; emergency care
Entry Date(s):
Date Created: 20191017 Date Completed: 20200526 Latest Revision: 20200526
Update Code:
20240105
PubMed Central ID:
PMC7104914
DOI:
10.1016/j.jemermed.2019.07.012
PMID:
31615705
Czasopismo naukowe
Background: Delay in seeking medical treatment for suspected acute coronary syndrome can lead to negative patient outcomes.
Objective: Our aim was to evaluate the prevalence and predictors of delay in seeking care in high-risk chest pain patients with or without acute coronary syndrome (ACS).
Methods: This was a secondary analysis of an observational cohort study of patients transported by Emergency Medical Services for a chief complaint of chest pain. Important demographic and clinical characteristics were extracted from electronic health records. Two independent reviewers adjudicated the presence of ACS. Logistic regression was used to model the predictors of delay in seeking care.
Results: The final sample included 743 patients (99% non-Hispanic). Overall, 24% presented > 12 h from onset of symptoms. Among those with ACS (n = 115), 14% presented > 12 h after onset of symptoms. Race, smoking, diabetes, and related symptoms were associated with delayed seeking behavior. In multivariate analysis, non-Caucasian race (black or others) was the only independent predictor of > 12 h delay in seeking care (odds ratio 1.4; 95% confidence interval 1.0-1.9).
Conclusions: One in four patients with chest pain, including 14% of those with ACS, wait more than 12 h before seeking care. Compared to non-blacks, black patients are 40% more likely to delay seeking care > 12 h.
(Copyright © 2019 Elsevier Inc. All rights reserved.)

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