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Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study
AIMS: Few contemporary studies have reported the time between acute myocardial infarction (AMI) symptoms onset and hospital arrival, associated factors, and patient perceptions of AMI symptoms and care seeking. We sought to study these issues using data from China, where AMI hospitalizations are inc...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307335/ https://www.ncbi.nlm.nih.gov/pubmed/29878087 http://dx.doi.org/10.1093/ehjqcco/qcy022 |
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author | Guan, Wenchi Venkatesh, Arjun K Bai, Xueke Xuan, Si Li, Jing Li, Xi Zhang, Haibo Zheng, Xin Masoudi, Frederick A Spertus, John A Krumholz, Harlan M Jiang, Lixin |
author_facet | Guan, Wenchi Venkatesh, Arjun K Bai, Xueke Xuan, Si Li, Jing Li, Xi Zhang, Haibo Zheng, Xin Masoudi, Frederick A Spertus, John A Krumholz, Harlan M Jiang, Lixin |
author_sort | Guan, Wenchi |
collection | PubMed |
description | AIMS: Few contemporary studies have reported the time between acute myocardial infarction (AMI) symptoms onset and hospital arrival, associated factors, and patient perceptions of AMI symptoms and care seeking. We sought to study these issues using data from China, where AMI hospitalizations are increasing. METHODS AND RESULTS: We used data from the China PEACE prospective AMI study of 53 hospitals across 21 provinces in China. Patients were interviewed during index hospitalization for information of symptom onset, and perceived barriers to accessing care. Regression analyses were conducted to explore factors associated with the time between symptom onset and hospital arrival. The final sample included 3434 patients (mean age 61 years). The median time from symptom onset to hospital arrival was 4 h (interquartile range 2–7.5 h). While 94% of patients reported chest pain or chest discomfort, only 43% perceived symptoms as heart-related. In multivariable analyses, time to hospital arrival was longer by 14% and 39% for patients failing to recognize symptoms as cardiac and those with rural medical insurance, respectively (both P < 0.001). Compared with patients with household income over 100 000 RMB, those with income of 10 000–50 000 RMB, and <10 000 RMB had 16% and 23% longer times, respectively (both P = 0.03). CONCLUSION: We reported an average time to hospital arrival of 4 h for AMI in China, with longer time associated with rural medical insurance, failing to recognize symptoms as cardiac, and low household income. Strategies to improve the timeliness of presentation may be essential to improving outcomes for AMI in China. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT01624909. |
format | Online Article Text |
id | pubmed-6307335 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-63073352019-01-07 Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study Guan, Wenchi Venkatesh, Arjun K Bai, Xueke Xuan, Si Li, Jing Li, Xi Zhang, Haibo Zheng, Xin Masoudi, Frederick A Spertus, John A Krumholz, Harlan M Jiang, Lixin Eur Heart J Qual Care Clin Outcomes Original Articles AIMS: Few contemporary studies have reported the time between acute myocardial infarction (AMI) symptoms onset and hospital arrival, associated factors, and patient perceptions of AMI symptoms and care seeking. We sought to study these issues using data from China, where AMI hospitalizations are increasing. METHODS AND RESULTS: We used data from the China PEACE prospective AMI study of 53 hospitals across 21 provinces in China. Patients were interviewed during index hospitalization for information of symptom onset, and perceived barriers to accessing care. Regression analyses were conducted to explore factors associated with the time between symptom onset and hospital arrival. The final sample included 3434 patients (mean age 61 years). The median time from symptom onset to hospital arrival was 4 h (interquartile range 2–7.5 h). While 94% of patients reported chest pain or chest discomfort, only 43% perceived symptoms as heart-related. In multivariable analyses, time to hospital arrival was longer by 14% and 39% for patients failing to recognize symptoms as cardiac and those with rural medical insurance, respectively (both P < 0.001). Compared with patients with household income over 100 000 RMB, those with income of 10 000–50 000 RMB, and <10 000 RMB had 16% and 23% longer times, respectively (both P = 0.03). CONCLUSION: We reported an average time to hospital arrival of 4 h for AMI in China, with longer time associated with rural medical insurance, failing to recognize symptoms as cardiac, and low household income. Strategies to improve the timeliness of presentation may be essential to improving outcomes for AMI in China. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT01624909. Oxford University Press 2019-01 2018-06-24 /pmc/articles/PMC6307335/ /pubmed/29878087 http://dx.doi.org/10.1093/ehjqcco/qcy022 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of the European Society of Cardiology http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Articles Guan, Wenchi Venkatesh, Arjun K Bai, Xueke Xuan, Si Li, Jing Li, Xi Zhang, Haibo Zheng, Xin Masoudi, Frederick A Spertus, John A Krumholz, Harlan M Jiang, Lixin Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study |
title | Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study |
title_full | Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study |
title_fullStr | Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study |
title_full_unstemmed | Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study |
title_short | Time to hospital arrival among patients with acute myocardial infarction in China: a report from China PEACE prospective study |
title_sort | time to hospital arrival among patients with acute myocardial infarction in china: a report from china peace prospective study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307335/ https://www.ncbi.nlm.nih.gov/pubmed/29878087 http://dx.doi.org/10.1093/ehjqcco/qcy022 |
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