|
|
Journal of The Korean Society of Emergency Medicine 1994;5(1): 48-58. |
| TIME DELAYS IN PREHOSPITAL AND EMERGENCY DEPARTMENT IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION |
| Sung Oh Hwang1, Kyoung Soo Lim1, Boo Soo Lee1, Young Sik Kim1, Moo Eob Ahn1, Byung Soo You2, Jung Han Yoon2, Keum Soo Park2, Kyung Hoon Choe2 |
1Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
2Department of Internal Medicine, Wonju College of Medicine, Yonsei University |
|
Published online: July 31, 1994. |
|
|
|
| ABSTRACT |
|
To investigate the potential causes of delays between onset of chest pain and provision of reperfusion therapy. We measured time intervals of prehospital phase and in emergency depart ment in 149 patients with acute myocardial infarction. Data were collected by interview with patients for prehospital time delays and time records in emergency department. The results were followings :
Patients who admitted to our hospital prior to 6 hours from chest pain were 519(34%).
Mean prehospital delay time of total patients was 548 minutes. Mean prehospital delay time of direct visit patients was shorter than transported patients(357 vs 595 minutes, p<0.05). In direct visit patients, patient delay time was shorter in reperfusion group than non-reperfusion group(ll7 vs 481 minutes, p<0.001). In transported patients, patients delay time and first hos pital delay time were shorter in reperfusion group than non-reperfusion group(116 vs 294 min utes in patient delay time, 70 vs 227 minutes in first hospital delay time, p<0.05 respectively). Transportation time and delay time in emergency department were not different between both groups.
In conclusion, time delays in patients not receiving reperfusion therapy was attributed to pro longed patient delay time and first hospital delay time in prehospital phase
|
| Key words:
Time delay, Reperfusion Therapy, Acute Myocardial Infarction |
|
|
|
PDF Links
Full text via DOI 
Download Citation 
