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Ahn, Kim, Lee, Lee, Jeong, Chang, Lee, Kim, and Shin: Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction
Original Article

Journal of Korean Academy of Nursing 2016; 46(6): 804-812.

Published online: 30 December 2016

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

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

Hye Mi Ahn1, Hyeongsu Kim1, Kun Sei Lee1, Jung Hyun Lee1, Hyo Seon Jeong1, Soung Hoon Chang1, Kyeong Ryong Lee2, Sung Hea Kim3, Eun Young Shin4

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 13 April 2016       Revised 31 August 2016       Accepted 4 September 2016

© 2016 Korean Society of Nursing Science

(open-access):

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.

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

Figures and Tables

Figure 1

Selection process of study subjects.

jkan-46-804-g001
Table 1

Comparison of Arrival Rate with Variables of Study Population

jkan-46-804-i001

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

Table 2

Logistic Regression for Delay related Variables

jkan-46-804-i002

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

Notes

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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