Key result
Medical records inadequately reflected patients' actual AMI symptoms, with time of symptom onset identified by 87.9% of patients but documented in only 60.5% of medical records.
Why the study?
Does the medical record accurately reflect patients' reported symptoms during acute myocardial infarction?
Cross-Sectional (n=215)
Does the medical record accurately reflect patients' reported symptoms during acute myocardial infarction?
Absolute Event Rate: 60.5% vs 87.9%
The medical record is an inaccurate and inadequate source of information about patients' actual experience of AMI symptoms, often omitting symptoms like fatigue and time of onset.
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Supports record-based symptom data for chest pain in AMI; leaves open validation for other symptoms and populations.
DeVon et al. (2004) conducted a cross-sectional in Acute myocardial infarction (AMI) (n=215). Medical record documentation vs. Patient-reported symptoms was evaluated on Identification of time of symptom onset. Medical records inadequately reflected patients' actual AMI symptoms, with time of symptom onset identified by 87.9% of patients but documented in only 60.5% of medical records.
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