Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2016 Dec;46(6):804-812. Korean.
    Published online Dec 30, 2016.
    https://doi.org/10.4040/jkan.2016.46.6.804
    © 2016 Korean Society of Nursing Science
    Original Article

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

    Hye Mi Ahn,1 Hyeongsu Kim,1 Kun Sei Lee,1 Jung Hyun Lee,1 Hyo Seon Jeong,1 Soung Hoon Chang,1 Kyeong Ryong Lee,2 Sung Hea Kim,3 and 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, Email: mubul@kku.ac.kr
    Received April 13, 2016; Revised August 31, 2016; Accepted September 04, 2016.

    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

    Figure 1
    Selection process of study subjects.

    Tables

    Table 1
    Comparison of Arrival Rate with Variables of Study Population

    Table 2
    Logistic Regression for Delay related Variables

    Notes

    CONFLICTS OF INTEREST:The authors declared no conflict of interest.

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    MeSH Terms
    Emergency Medical Services*
    Acute Disease
    Age Factors
    Aged
    Female
    Hospitals
    Humans
    Male
    Middle Aged
    Myocardial Infarction/diagnosis*
    Myocardial Infarction/mortality
    Residence Characteristics
    Sex Factors
    Time Factors
    Transportation
    Metrics
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