liu.seSearch for publications in DiVA
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Characteristics of patients with acute myocardial infarction contacting primary healthcare before hospitalisation: a cross-sectional study
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Primärvårdscentrum, Vårdcentralen Ljungsbro.
Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Medicinska fakulteten. Dept Internal Med, Sweden.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Primärvårdscentrum, Vårdcentralen Vikbolandet.
Vise andre og tillknytning
2018 (engelsk)Inngår i: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 19, artikkel-id 167Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: The characteristics of patients with on-going myocardial infarction (MI) contacting the primary healthcare (PHC) centre before hospitalisation are not well known. Prompt diagnosis is crucial in patients with MI, but many patients delay seeking medical care. The aims of this study was to 1) describe background characteristics, symptoms, actions and delay times in patients contacting the PHC before hospitalisation when falling ill with an acute MI, 2) compare those patients with acute MI patients not contacting the PHC, and 3) explore factors associated with a PHC contact in acute MI patients. Methods: This was a cross-sectional multicentre study, enrolling consecutive patients with MI within 24 hours of admission to hospital from Nov 2012 until Feb 2014. Results: A total of 688 patients with MI, 519 men and 169 women, were included; the mean age was 66 +/- 11 years. One in five people contacted PHC instead of the recommended emergency medical services (EMS), and 94% of these patients experienced cardinal symptoms of an acute MI; i.e., chest pain, and/or radiating pain in the arms, and/or cold sweat. Median delay time from symptom-onset-to-decision-to-seek-care was 2:15 hours in PHC patients and 0:40 hours in non-PHC patients (pamp;lt;0.01). The probability of utilising the PHC before hospitalisation was associated with fluctuating symptoms (OR 1.74), pain intensity (OR 0.90) symptoms during off-hours (OR 0.42), study hospital (OR 3.49 and 2.52, respectively, for two of the county hospitals) and a final STEMI diagnosis (OR 0.58). Conclusions: Ambulance services are still underutilized in acute MI patients. A substantial part of the patients contacts their primary healthcare centre before they are diagnosed with MI, although experiencing cardinal symptoms such as chest pain. There is need for better knowledge in the population about symptoms of MI and adequate pathways to qualified care. Knowledge and awareness amongst primary healthcare professionals on the occurrence of MI patients is imperative.

sted, utgiver, år, opplag, sider
BMC , 2018. Vol. 19, artikkel-id 167
Emneord [en]
Chest pain; Myocardial infarction; Primary healthcare; Pre-hospital delay
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-152382DOI: 10.1186/s12875-018-0849-8ISI: 000447149900001PubMedID: 30305077OAI: oai:DiVA.org:liu-152382DiVA, id: diva2:1259644
Merknad

Funding Agencies|Medical Research Council of Southeast Sweden (FORSS); Region Ostergotland, ALF

Tilgjengelig fra: 2018-10-30 Laget: 2018-10-30 Sist oppdatert: 2019-05-02

Open Access i DiVA

fulltext(580 kB)44 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 580 kBChecksum SHA-512
026f4898dec6ebcbb02d25010076e5353d201f516abb873105a416efd5a6e21921b9ced45424923a0584ef9259e02f0fba208a4a5eba958eb2e92708dffe81ef
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMed

Personposter BETA

Sederholm Lawesson, SofiaNilsson, Staffan

Søk i DiVA

Av forfatter/redaktør
Andersson, PerSederholm Lawesson, SofiaKarlsson, Jan-ErikNilsson, StaffanThylén, Ingela
Av organisasjonen
I samme tidsskrift
BMC Family Practice

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 44 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 573 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf