Cargando…

Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals

Objective: The National Heart Foundation’s Warning Signs Campaign (2009–2013) aimed to raise awareness amongst the public of Acute Coronary Syndrome (ACS), encouraging people to recognise suggestive symptoms and seek immediate medical attention. This study explores the impact of the campaign on the...

Descripción completa

Detalles Bibliográficos
Autores principales: Redwood, Eleanor, Hyun, Karice, French, John, Chew, Derek, Kritharides, Leonard, Brieger, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517920/
https://www.ncbi.nlm.nih.gov/pubmed/36078416
http://dx.doi.org/10.3390/ijerph191710700
_version_ 1784799058842353664
author Redwood, Eleanor
Hyun, Karice
French, John
Chew, Derek
Kritharides, Leonard
Brieger, David
author_facet Redwood, Eleanor
Hyun, Karice
French, John
Chew, Derek
Kritharides, Leonard
Brieger, David
author_sort Redwood, Eleanor
collection PubMed
description Objective: The National Heart Foundation’s Warning Signs Campaign (2009–2013) aimed to raise awareness amongst the public of Acute Coronary Syndrome (ACS), encouraging people to recognise suggestive symptoms and seek immediate medical attention. This study explores the impact of the campaign on the characteristics of patients presenting to hospitals around Australia with ACS. Design: Retrospective cohort analysis Setting: 10 Australian Hospitals recruiting for the CONCORDANCE registry continuously throughout the campaign period. Participants: Patients presenting with ACS to hospitals before, during and after the campaign ran in their jurisdiction. Main Outcome Measures: Whether an ambulance was called, time between onset of symptoms to first medical contact, as well as time between onset of symptoms to primary percutaneous intervention or lysis. Results: Time to first medical contact did not improve during or post-campaign for NSTEACS medical hours (IQI) 1.6 (0.5–4.8) pre, 2.2 (0.7–7.6) during, 2 (0.7–6.9) post (p < 0.001) or STEMI, 1.1 (0.4–3.5) pre, 1.6 (0.6–5.1) during, 1.4 (0.5–4.3) post (p = 0.0113). In STEMI, time from symptom onset to pPCI (p = 0.256) and time to lysis (p = 0.387) were also unchanged. The proportion of ambulance arrivals remained stable (pre 55% vs. during 58%, p = 0.493). Patients presenting during the campaign were more likely to be born in Australia 56% pre, 69% during, 68% post (p < 0.001), to report English as a first language 67% pre, 84% during, 79% post (p < 0.001), and had lower likelihood of prior MI or revascularization but greater likelihood of cardiovascular risk factors compared to those presenting prior. Conclusion: Among patients with ACS, we detected no increase in proportion of ambulance presentations nor earlier presentations among NSTEACS or STEMI during the campaign. There was an increase in the proportion of patients for whom English was the first language and those without a prior cardiac history but with cardiovascular risk factors, suggesting that the campaign impacted preferentially on certain strata in the community.
format Online
Article
Text
id pubmed-9517920
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95179202022-09-29 Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals Redwood, Eleanor Hyun, Karice French, John Chew, Derek Kritharides, Leonard Brieger, David Int J Environ Res Public Health Article Objective: The National Heart Foundation’s Warning Signs Campaign (2009–2013) aimed to raise awareness amongst the public of Acute Coronary Syndrome (ACS), encouraging people to recognise suggestive symptoms and seek immediate medical attention. This study explores the impact of the campaign on the characteristics of patients presenting to hospitals around Australia with ACS. Design: Retrospective cohort analysis Setting: 10 Australian Hospitals recruiting for the CONCORDANCE registry continuously throughout the campaign period. Participants: Patients presenting with ACS to hospitals before, during and after the campaign ran in their jurisdiction. Main Outcome Measures: Whether an ambulance was called, time between onset of symptoms to first medical contact, as well as time between onset of symptoms to primary percutaneous intervention or lysis. Results: Time to first medical contact did not improve during or post-campaign for NSTEACS medical hours (IQI) 1.6 (0.5–4.8) pre, 2.2 (0.7–7.6) during, 2 (0.7–6.9) post (p < 0.001) or STEMI, 1.1 (0.4–3.5) pre, 1.6 (0.6–5.1) during, 1.4 (0.5–4.3) post (p = 0.0113). In STEMI, time from symptom onset to pPCI (p = 0.256) and time to lysis (p = 0.387) were also unchanged. The proportion of ambulance arrivals remained stable (pre 55% vs. during 58%, p = 0.493). Patients presenting during the campaign were more likely to be born in Australia 56% pre, 69% during, 68% post (p < 0.001), to report English as a first language 67% pre, 84% during, 79% post (p < 0.001), and had lower likelihood of prior MI or revascularization but greater likelihood of cardiovascular risk factors compared to those presenting prior. Conclusion: Among patients with ACS, we detected no increase in proportion of ambulance presentations nor earlier presentations among NSTEACS or STEMI during the campaign. There was an increase in the proportion of patients for whom English was the first language and those without a prior cardiac history but with cardiovascular risk factors, suggesting that the campaign impacted preferentially on certain strata in the community. MDPI 2022-08-27 /pmc/articles/PMC9517920/ /pubmed/36078416 http://dx.doi.org/10.3390/ijerph191710700 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Redwood, Eleanor
Hyun, Karice
French, John
Chew, Derek
Kritharides, Leonard
Brieger, David
Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals
title Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals
title_full Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals
title_fullStr Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals
title_full_unstemmed Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals
title_short Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals
title_sort impact of the “warning signs campaign” on characteristics of patients presenting with acute coronary syndrome (acs) to hospitals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517920/
https://www.ncbi.nlm.nih.gov/pubmed/36078416
http://dx.doi.org/10.3390/ijerph191710700
work_keys_str_mv AT redwoodeleanor impactofthewarningsignscampaignoncharacteristicsofpatientspresentingwithacutecoronarysyndromeacstohospitals
AT hyunkarice impactofthewarningsignscampaignoncharacteristicsofpatientspresentingwithacutecoronarysyndromeacstohospitals
AT frenchjohn impactofthewarningsignscampaignoncharacteristicsofpatientspresentingwithacutecoronarysyndromeacstohospitals
AT chewderek impactofthewarningsignscampaignoncharacteristicsofpatientspresentingwithacutecoronarysyndromeacstohospitals
AT kritharidesleonard impactofthewarningsignscampaignoncharacteristicsofpatientspresentingwithacutecoronarysyndromeacstohospitals
AT briegerdavid impactofthewarningsignscampaignoncharacteristicsofpatientspresentingwithacutecoronarysyndromeacstohospitals