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November 1, 1996HeartOpen Access

An evaluation of the results of media and educational campaigns designed to shorten the time taken by patients with acute myocardial infarction to decide to go to hospital.

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Why the study?

Do media and educational campaigns reduce the delay between the onset of acute myocardial infarction and its treatment?

Population

7 educational campaigns reported between 1982 and 1994 targeting patients with acute myocardial infarction

Design

Systematic_review

Authors

MBMarianne BlohmUniversität HamburgMHMarianne HartfordUniversity of GothenburgBKB. W. KarlsonAstraZeneca (Sweden)

Discussion

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Overview

Campaigns to reduce AMI decision delays lack support and should not change practice; confirms inconsistent effects and leaves open modern alternatives.

Key Points

  • To evaluate the benefits and pitfalls of public media and educational campaigns aimed at reducing patient decision time and treatment delays during acute myocardial infarction.
  • Systematic evaluation of all seven educational campaigns reported in the literature between 1982 and 1994.
  • Reductions in patient decision time ranged widely, from a 35% reduction to no effect, with only one study demonstrating a sustained 50% reduction over three years.
  • Ambulance use did not increase following the campaigns, and the single study evaluating clinical outcomes reported that survival was unaffected.
  • Campaigns caused a temporary increase in emergency department presentations for non-cardiac chest pain during their initial implementation phases.

Structured PICO

Do media and educational campaigns reduce the delay between the onset of acute myocardial infarction and its treatment?

P
Population
7 educational campaigns reported between 1982 and 1994 targeting patients with acute myocardial infarction (AMI)
I
Intervention
Media and educational campaigns designed to shorten the time taken by patients to decide to go to hospital
O
Outcome
Delay between the onset of acute myocardial infarction (AMI) and its treatment (patient decision time)

Media and educational campaigns designed to reduce patient delay in seeking treatment for acute myocardial infarction have yielded inconsistent results and have not yet proven to be worthwhile.

Cite This Study

Blohm et al. (1996) studied this question.

synapsesocial.com/papers/6a6f79d1439bab0cabc2ce5dhttps://doi.org/10.1136/hrt.76.5.430
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