Volume 1, Issue 4 (12-2002)
JRUMS 2002, 1(4): 252-261 |
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The Causes of Delaying Hospital Admission of Patients with Acute Myocardial Infarction to the Hospitals in Kerman City(2000). JRUMS 2002; 1 (4) :252-261
URL: http://journal.rums.ac.ir/article-1-5434-en.html
URL: http://journal.rums.ac.ir/article-1-5434-en.html
Abstract: (1522 Views)
Background:. Delays in treatmeat of AMI has a negative effect on patient,s prognosis. This study performed to determine the influence of several factors including: age, sex, socio-economic situation, opium addiction, history of diabetes mellitus, history of ischemuic heart disease, intensity of pain at onset of infarction, time of symptoms onset, living alone, visiting the physician and distance from hospital, on patients delay in patients with AMI.
Materials and Methods: This study was performed on 300 consecutive patients with AMI admitted to Kerman hospitals in a seven months period. Time between onest of symptoms and arriving to the hospital considered as delay if it was more than six hours. The data were collected using a questionaire by a Physician.Results: Patients divided into two groups based on the duration of delay. 203 patients had a delay less than six hours from symptom,s onset, and 97 patients had more than six hours delay. Among the patient,s related variables, history of diabetes mellitus (P=0.017) and low intensity of pain at onset of infarction P=0.0087 were associated with the duration of delay significantly.
Conclusion: History of diabetes mellitus and low intensity of pain at onset of infarction can increase delay and decrease the efficiency of treatmeat.Therefrore it is essential to increase the patients, awareness especially diabetic patients that are at high risk to hospital as soon as possible to improve prognosis of AMI.
Key words: Myocardidal infarction. Thromblytic therapy. Delaying treatment
Type of Study: Research |
Subject:
cardiology
Received: 2020/06/10 | Accepted: 2020/06/10 | Published: 2020/06/10
Received: 2020/06/10 | Accepted: 2020/06/10 | Published: 2020/06/10
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