Factors relating pre - hospital delay in patients with ST elevated myocardial infarction (STEMI) of hospitals in medical service department, Bangkok Metropolitan Administration

Authors

  • Pattarasiri Potjamanpong Kuakarun Faculty of Nursing, Navamindradhiraj Universirty
  • Duangkamon Suktongsa Kuakarun Faculty of Nursing, Navamindradhiraj University
  • Benchamart Trakoolngamden Kuakarun Faculty of Nursing, Navamindradhiraj University
  • Yupa Wongrodtri Kuakarun Faculty of Nursing, Navamindradhiraj University

Keywords:

pre-hospital delay, ST elevated myocardial infarction, chest pain

Abstract

            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

References

World Health Organization. World Heart Day 2017: Scale up prevention of Heart attack and stroke. Internet]. 2017. [Cited 2017 Feb 11]. Available From: https://www.who.int/cardiovascular_disease/world-heart-day-2017.

Bureau of non-communicable disease. Number of inpatients with ischemic heart disease (I20-I25) in 2007 - 2015. [Internet]. 2016. [Cited 2017 Feb 15]. Available From:https://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020&searchText=&pn=2 (in Thai).

Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction: an update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2015; 87(6): 1003-15.

Kachataya J, Preeyasaksaku C, Suksamphan S. Caring system development to care for patients with ST-Segment Elevation Myocardial Infarction (STEMI) receiving primary percutaneous coronary intervention at Phrapokklao Hospital, Thailand. Nursing Journal of the Ministry of Public Health, 2014; 24(1):136-48. (in Thai).

Dracup K, McKinley S, Riegel B, Moser DK, Meischke H, Doering LV, et al. A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome. Circulation: 2009; 2(6): 524-32.

Antman EM, Anbe DT, Armstrong PW, et al. ACC/ AHA Guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). J Am Coll Cardiol. 2004; 44(3): E1-E211.

Moser DK, Kimble LP, Alberts MJ, Alonzo A, Croft JB, Dracup K, et al. Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. Circulation. 2006; 114(2): 168-82.

Untaja P, Sindhu S. Evaluation project for factors associated successful access to treatment of the patients with ST-elevated Myocardial Infarction [STEMI] to improve emergency medical services system. [Internet]. 2017. [Cited 2017 February 18]. Available From https://www.niems.go.th/pdfviewer/index.html (in Thai).

Spencer FA, Montalescot G, Fox KA, Goodman SG, Granger CB, Goldberg RJ, et al. Delay to reperfusion in patients with acute myocardial infarction presenting to acute care hospitals: an international perspective. Eur Heart J. 2010; 31(11): 1328-36.

Koc S, Durna Z, Akin S. Interpretation of symptoms as a cause of delays in patients with acute myocardial infarction, Istanbul, Turkey. East Mediterr Health J. 2017; 23(4): 287.

Bohplian S, Untaja P. Nurses’ roles in decreasing delay access to treatment in acute coronary syndrome patients. Journal of the Royal Thai Army Nurses. 2014; 15(2): 78-83. (in Thai).

Isaksson RM, Holmgren L, Lundblad D, Brulin C, Eliasson M. Time trends in symptoms and prehospital delay time in women vs. men with myocardial infarction over a 15-year period. The Northern Sweden MONICA Study. Eur J Cardiovasc Nurs. 2008; 7(2): 152-8.

Taghaddosi M, Dianati M, Bidgoli JFG, Bahonaran J. Delay and its related factors in seeking treatment in patients with acute myocardial infarction. ARYA atheroscler. 2010; 6(1): 35.

De Luca G, Gibson CM, Bellandi F, Noc M, Dudek D, Zeymer U, et al. Diabetes mellitus is associated with distal embolization, impaired myocardial perfusion, and higher mortality in patients with ST-segment elevation myocardial infarction treated with primary angioplasty and glycoprotein IIb-IIIa inhibitors. Atherosclerosis. 2009; 207(1): 181-5.

Orksuk L, Ruisungnoen W. Perception of symptoms and decision to seek treatment in patients with acute coronary syndrome. Journal of nurses’ association of Thailand, north-eastern division. 2012; 30(2): 89-97. (in Thai).

Rakkerd P. Illness representations and illness responses in patients diagnosed with acute myocardial infarction. [Master Thesis of Nursing Science]. Songkhla: Prince of Songkhla university; 2006. (in Thai)

Porras LP, Whitehead DL, Strike PC, Steptoe A. Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home to hospital delay. Eur J Cardiovasc Nurs. 2009; 8(1): 26-33.

O' Gara PT, Kushner FG, Ascheim DD, Casey DE, Chung MK, De Lemos JA, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2012; e362-e425.

Nguyen HL, Phan DT, Ha DA, Nguyen QN, Goldberg RJ. First acute myocardial infarction: a short report [version 1]. [Internet]. 2018. [Cited 2017 February 27]. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5790997/pdf/f1000research-4-14795.pdf

Bohplian S, Pinyopasakul W, Sareewiwatthana P, Charoenkitkam V. The relationship among age, health insurance coverage, perceived social support and time to hospital arrival in patients with coronary artery disease. Journal of the royal Thai army nurse. 2011; 12 (special volume): 84-90. (in Thai).

Kamsopa S, Ua—kit N. Selected factors related to pre-hospital time in chronic obstructive pulmonary disease patients with acute exacerbation. Thai Journal of Cardio-Thoracic Nursing. 2017; 28(1): 81-95. (in Thai).

Siriyotthumrong D, Uttama C, Aungpiroj N, Khantarak P. Development of case management system in patients with St-segment elevation myocardial infarction. Journal of Nursing Division. 2014; 41(1): 56-73. (in Thai).

Kushner FG, Hand M, Smith SC, King SB, Anderson JL, Antman EM, et al. 2009 focused updates: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction (updating the 2004 guideline and 2007 focused update) and ACC/AHA/SCAI guidelines on percutaneous coronary intervention (updating the 2005 guideline and 2007 focused update): a report of the American College of Cardiology Foundation /American Heart Association Task Force on Practice Guidelines. JACC. 2009; 54(23): 2205-41.

Ngamkham S, Suwannapong N,Tipayamongkholgul M, Manmee J. Access to health care services of the elderly, Thawiwatthana District, Bangkok. Kuakarun Journal of Nursing. 2018; 25(2):91-104. (in Thai).

Leventhal H, Nerenz D, Steele D. Illness representation and coping with health threats. In: Baum A. Singer J. (Eds). A handbook of psychologyand health. New Jersey: Lawrence Erlbaum Associates: Hillsdale. 1984. 219-52

Bruyninckx R, Aertgeerts B, Bruyninckx P, Buntinx F. Signs and symptoms in diagnosing acute myocardial infarction and acute coronary syndrome: a diagnostic meta-analysis. Br J Gen Pract. 2008; 58(547): e1-8.

Wayne WD. Biostatistics: a foundation of analysis in the health sciences. 6th ed. New Jersey: John Wiley & Sons, Inc.; 1995.

Ngamjarus C, Chongsuvivatwong V. N4 studies: sample size calculation for an epidemiological study on a smart device. Siriraj Medical Journal. 2016; 68(3): 160-70. (in Thai).

Damrongsat P, Suworawattanakul W. Factors Influencing creative internet use of nursing students. Journal of Health Research and Innovation. 2019; 2(1): 219-28. (in Thai).

Dell’Italia LJ, Oparil S. Bradykinin in the heart: friend or foe. Circulation. 1999; 100: 2305-07.

Dünser MW,Dankl D,Petros S,Mer M. Clinical Examination Skills in the adult critically ill patient. Gewerbestrasse: Springer International Publishing; 2018.

MacInnes JD. The illness perceptions of women following symptoms of acute myocardial infarction: a self-regulatory approach. EJCN. 2006; 5: 280-8.

Chompookot J. Daenseekaew S. The community networking on increasing successful fast track for people with ST- elevation myocardial infarction of Tambon Phon Thong, Amphoe Renu Nakhoe, Nakhon Phanom Province. Journal of Nursing and Health Care. 2018; 35(4): 132-9. (in Thai)

Johnson JE. Self-regulation theory and coping with physical illness. Res Nurs Health. 1999; 22:435-48.

Vinik AI, Maser RE, Mitchell BD, Freeman R. Diabetic autonomic neuropathy. Diabatic care. 2003; 26: 1553-79.

Sitthisook S. Thail guideline on the acute coronary syndrome review 2014. Bangkok: Srimueang; 2014. (in Thai).

Junghans C, Sekhri N, Zaman MJ, Hemingway H, Feder GS, Timmis A. Atypical chest pain in diabetic patients with suspected stable angina: impact on diagnosis and coronary outcomes. Eur Heart J Qual Care Clin Outcomes. 2015; 1(1): 37-43.

Scognamiglio R, Negut C, Ramondo A, Tiengo A, Avogaro A. Detection of coronary artery disease in asymptomatic patients with type 2 diabetes mellitus. J Am Coll Cardiol. 2006; 47: 65-71.

Angerud KH. Symptoms and care seeking behaviour during myocardial infarction in patients with diabetes. [Doctoral dissertation]. Umeå: Umea university; 2015.

Ottesen MM, Dixen U, Torp-Pederson C, Kober L. Prehospital delay in acute coronary syndrome-an analysis of the component of delay. Int.J.Cardiol. 2004; 96: 97-103.

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Published

2020-03-07

How to Cite

1.
Potjamanpong P, Suktongsa D, Trakoolngamden B, Wongrodtri Y. Factors relating pre - hospital delay in patients with ST elevated myocardial infarction (STEMI) of hospitals in medical service department, Bangkok Metropolitan Administration. Thai J. Cardio-Thorac Nurs. [Internet]. 2020 Mar. 7 [cited 2024 Mar. 29];30(2):159-75. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/240347

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Research Articles