Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission

Research output: Contribution to journalJournal articlepeer-review

Standard

Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. / Rasmussen, C-H; Munck, A; Kragstrup, J.; Haghfelt, T.

In: Scandinavian Cardiovascular Journal, Vol. 37, No. 4, 2003, p. 183-6.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Rasmussen, C-H, Munck, A, Kragstrup, J & Haghfelt, T 2003, 'Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission', Scandinavian Cardiovascular Journal, vol. 37, no. 4, pp. 183-6. https://doi.org/10.1080/14017430310014920

APA

Rasmussen, C-H., Munck, A., Kragstrup, J., & Haghfelt, T. (2003). Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. Scandinavian Cardiovascular Journal, 37(4), 183-6. https://doi.org/10.1080/14017430310014920

Vancouver

Rasmussen C-H, Munck A, Kragstrup J, Haghfelt T. Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. Scandinavian Cardiovascular Journal. 2003;37(4):183-6. https://doi.org/10.1080/14017430310014920

Author

Rasmussen, C-H ; Munck, A ; Kragstrup, J. ; Haghfelt, T. / Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. In: Scandinavian Cardiovascular Journal. 2003 ; Vol. 37, No. 4. pp. 183-6.

Bibtex

@article{e0b14670caa6492c9e54a6e159de2de7,
title = "Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission",
abstract = "OBJECTIVE: The aim of the study was to examine patient delay (time from onset of chest pain to patient seeking medical care) among patients who were admitted to hospital with suspected acute coronary syndrome (ACS).DESIGN AND RESULTS: For 337 patients acutely admitted to the Cardiology Department, Odense University Hospital, during a 3-month period in 1998 with suspected ACS, patient delay and the total pre-hospital delay were registered. In addition, information on patient characteristics, patient behaviour and symptom perception was obtained. The median patient delay was 2.85 h (range 0.2-91 h), of this the {"}silent{"} patient delay represented 1 h (range 1 min-11.3 h). The total pre-hospital delay was median 3.88 h. Thirty-one per cent of the patients had confirmed acute myocardial infarction (AMI), and this patient group had a significantly shorter patient delay compared with the group without AMI, 2.05 h vs 3.12 h, p = 0.01. Patient delay of more than 2 h was associated with the factors {"}self-medication{"} and {"}wanted to wait and see if the symptoms went away{"}. A smaller than average risk of patient delay was found in the case of {"}suspicion of heart attack{"} and {"}suspicion of a serious condition{"}.CONCLUSION: Patient delay is considered to be a serious impediment to markedly improving the prognosis in the case of ACS.",
keywords = "Acute Disease, Adult, Aged, Aged, 80 and over, Chest Pain/diagnosis, Coronary Disease/diagnosis, Decision Making, Denmark/epidemiology, Female, Humans, Logistic Models, Male, Middle Aged, Myocardial Infarction/diagnosis, Patient Admission, Risk Factors, Self Medication, Syndrome, Treatment Outcome",
author = "C-H Rasmussen and A Munck and J. Kragstrup and T Haghfelt",
year = "2003",
doi = "10.1080/14017430310014920",
language = "English",
volume = "37",
pages = "183--6",
journal = "Scandinavian Cardiovascular Journal",
issn = "1401-7458",
publisher = "Taylor & Francis",
number = "4",

}

RIS

TY - JOUR

T1 - Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission

AU - Rasmussen, C-H

AU - Munck, A

AU - Kragstrup, J.

AU - Haghfelt, T

PY - 2003

Y1 - 2003

N2 - OBJECTIVE: The aim of the study was to examine patient delay (time from onset of chest pain to patient seeking medical care) among patients who were admitted to hospital with suspected acute coronary syndrome (ACS).DESIGN AND RESULTS: For 337 patients acutely admitted to the Cardiology Department, Odense University Hospital, during a 3-month period in 1998 with suspected ACS, patient delay and the total pre-hospital delay were registered. In addition, information on patient characteristics, patient behaviour and symptom perception was obtained. The median patient delay was 2.85 h (range 0.2-91 h), of this the "silent" patient delay represented 1 h (range 1 min-11.3 h). The total pre-hospital delay was median 3.88 h. Thirty-one per cent of the patients had confirmed acute myocardial infarction (AMI), and this patient group had a significantly shorter patient delay compared with the group without AMI, 2.05 h vs 3.12 h, p = 0.01. Patient delay of more than 2 h was associated with the factors "self-medication" and "wanted to wait and see if the symptoms went away". A smaller than average risk of patient delay was found in the case of "suspicion of heart attack" and "suspicion of a serious condition".CONCLUSION: Patient delay is considered to be a serious impediment to markedly improving the prognosis in the case of ACS.

AB - OBJECTIVE: The aim of the study was to examine patient delay (time from onset of chest pain to patient seeking medical care) among patients who were admitted to hospital with suspected acute coronary syndrome (ACS).DESIGN AND RESULTS: For 337 patients acutely admitted to the Cardiology Department, Odense University Hospital, during a 3-month period in 1998 with suspected ACS, patient delay and the total pre-hospital delay were registered. In addition, information on patient characteristics, patient behaviour and symptom perception was obtained. The median patient delay was 2.85 h (range 0.2-91 h), of this the "silent" patient delay represented 1 h (range 1 min-11.3 h). The total pre-hospital delay was median 3.88 h. Thirty-one per cent of the patients had confirmed acute myocardial infarction (AMI), and this patient group had a significantly shorter patient delay compared with the group without AMI, 2.05 h vs 3.12 h, p = 0.01. Patient delay of more than 2 h was associated with the factors "self-medication" and "wanted to wait and see if the symptoms went away". A smaller than average risk of patient delay was found in the case of "suspicion of heart attack" and "suspicion of a serious condition".CONCLUSION: Patient delay is considered to be a serious impediment to markedly improving the prognosis in the case of ACS.

KW - Acute Disease

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Chest Pain/diagnosis

KW - Coronary Disease/diagnosis

KW - Decision Making

KW - Denmark/epidemiology

KW - Female

KW - Humans

KW - Logistic Models

KW - Male

KW - Middle Aged

KW - Myocardial Infarction/diagnosis

KW - Patient Admission

KW - Risk Factors

KW - Self Medication

KW - Syndrome

KW - Treatment Outcome

U2 - 10.1080/14017430310014920

DO - 10.1080/14017430310014920

M3 - Journal article

C2 - 12944204

VL - 37

SP - 183

EP - 186

JO - Scandinavian Cardiovascular Journal

JF - Scandinavian Cardiovascular Journal

SN - 1401-7458

IS - 4

ER -

ID: 324177818