Factors relating pre - hospital delay in patients with ST elevated myocardial infarction (STEMI) of hospitals in medical service department, Bangkok Metropolitan Administration
Keywords:
pre-hospital delay, ST elevated myocardial infarction, chest painAbstract
This retrospective descriptive research aimed to study the factors of the pre-hospital delays in the patients with the ST-elevation myocardial infarction (STEMI) in the hospitals in the Medical Service Department, Bangkok Metropolitan Administration. Data were collected from 200 medical records. Samples were selected with the proportion stratified random sampling method by selecting the medical records of the patients from January 1, 2017 to December 31, 2018. The instru-ments were composed of demographic information and factors associated with pre-hospital delay questionnaire. The data were analysed by means, standard deviations and conducting the binary logistic regression analysis.
Results revealed that the factors significantly related with the pre-hospital delays over six hours (p<.001) were chest pains. Chest pain was the obvious symptoms of the patients and the symptoms were reference variables. It was found that the patients acknowledging symptoms and then having back and epigastric pains would be possible to receive treatments with longer delays than the patients with the chest pains for 72 times. By considering underlying diseases, it was found that the patients with diabetes were possible to receive treatments with longer delays than the patients without diabetes for 7.5 times.
Based on the findings, this research should concentrate on interventions that target high-risk populations; social, cognitive, and emotional factors contributing to delay; and the contribution to delay for healthcare
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