Delays in presentation with acute coronary syndrome in people with coronary artery disease in Australia and New Zealand

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dc.contributor.author Mckinley, S
dc.contributor.author Aitken, LM
dc.contributor.author Marshall, AP
dc.contributor.author Buckley, T
dc.contributor.author Baker, H
dc.contributor.author Davidson, PM
dc.contributor.author Dracup, K
dc.date.accessioned 2012-10-12T03:34:20Z
dc.date.issued 2011-04
dc.identifier.citation EMA - Emergency Medicine Australasia, 2011, 23 (2), pp. 153 - 161
dc.identifier.issn 1742-6731
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18527
dc.description.abstract Objectives: To report time from the onset of symptoms to hospital presentation in Australian and New Zealand patients with subsequently confirmed acute coronary syndrome, and to identify factors associated with prehospital delay time in these patients. Methods: Patients with coronary artery disease enrolled in a randomized clinical trial testing an intervention to reduce delay in responding to acute coronary syndrome symptoms had been followed for 24months. In cases of admission to the ED for possible acute coronary syndrome, medical records were reviewed to determine the diagnosis, prehospital delay time, mode of transport to the hospital and aspirin use before admission. Clinical and demographic data were taken from the trial database. Results: Patients (n= 140) had an average (SD) age of 67.3 (11.5) years; 36% were female. Two-thirds of patients went to hospital by ambulance and 89.3% had a final diagnosis of unstable angina. The median time from onset of symptoms to arrival at the ED was 2h and 25min (interquartile range 1:25-4:59); 12.1% arrived ≤ 1h and 66% within 4h. Multiple linear regression analysis showed that use of ambulance (Beta = 0.247, P= 0.012) and younger age (Beta = 0.198, P= 0.043) were independent predictors of shorter delay times. Conclusion: The time from the onset of symptoms to hospital presentation was too long for maximal benefit from treatment in most patients. Further efforts are needed to reduce treatment-seeking delay in response to symptoms of acute coronary syndrome. © 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
dc.language eng
dc.relation.isbasedon 10.1111/j.1742-6723.2011.01385.x
dc.title Delays in presentation with acute coronary syndrome in people with coronary artery disease in Australia and New Zealand
dc.type Journal Article
dc.parent EMA - Emergency Medicine Australasia
dc.journal.volume 2
dc.journal.volume 23
dc.journal.number en_US
dc.publocation Carlton South, Vic, Australia en_US
dc.identifier.startpage 153 en_US
dc.identifier.endpage 161 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 930003
dc.personcode 014913
dc.personcode 106354
dc.personcode 110950
dc.percentage 100 en_US
dc.classification.name Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity WOS:000289523300006 en_US
dc.description.keywords Acute coronary syndrome
dc.description.keywords Coronary artery disease
dc.description.keywords Emergency medical service
dc.description.keywords Prehospital delay
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history Closed (ID: 3)


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