What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: first-time acute coronary syndrome (ACS) (n=288). Intervention: Younger age (<65 years) vs. Older age (≥65 years). Primary outcome: Median pre-hospital delay (hours).

What question did this study set out to answer?

To compare clinical manifestations and identify predicting factors for pre-hospital treatment-seeking delay between younger (<65 years) and older (≥65 years) patients experiencing first-time acute coronary syndrome.

January 1, 2009Journal of Korean Academy of Nursing

Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome

Q: What are the key findings of this study?

Younger patients (<65 years) with first-time acute coronary syndrome had a shorter median pre-hospital delay (5 hours) compared to older patients (12 hours).

Q: What question did this study set out to answer?

To compare clinical manifestations and identify predicting factors for pre-hospital treatment-seeking delay between younger (<65 years) and older (≥65 years) patients experiencing first-time acute coronary syndrome.

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Key result

Younger patients (<65 years) with first-time acute coronary syndrome had a shorter median pre-hospital delay (5 hours) compared to older patients (12 hours).

Why the study?

What are the differences in clinical manifestations and predictors of treatment-seeking delay between younger and older patients with first-time ACS?

Population

288 patients with first-time acute coronary syndrome (ACS)

Design

Cross-sectional

Authors

SHSeon Young HwangHeart Failure & Transplant

Discussion

Member takes

Implication

Older first-time ACS patients may face longer pre-hospital delays; this cross-sectional analysis leaves open whether age-specific education shortens them.

Key Points

To compare clinical manifestations and identify predicting factors for pre-hospital treatment-seeking delay between younger (<65 years) and older (≥65 years) patients experiencing first-time acute coronary syndrome.
Interview-based study of N=288 patients diagnosed with first-time acute coronary syndrome at a university hospital between November 2007 and December 2008.
Multivariable logistic regression analysis was conducted, adjusting for age, gender, and education level, to evaluate predictors of pre-hospital delay exceeding 3 hours.
Median pre-hospital delay was significantly longer in older patients (12 hours) compared to younger patients (5 hours).
Younger patients presented more frequently with chest pain, left shoulder/arm pain, perspiration, and nausea, whereas older patients more often reported syncope and dyspnea.
Progressive symptom onset and failure to attribute symptoms to a cardiac cause predicted delay >3 hours in both cohorts, whereas low perceived health status predicted delay only in older patients.

Study Design

Type

Cross-Sectional (n=288)

Multicenter

Structured PICO

What are the differences in clinical manifestations and predictors of treatment-seeking delay between younger and older patients with first-time ACS?

Population

288 patients with first-time acute coronary syndrome interviewed to compare clinical manifestations and treatment-seeking delay between younger (<65 years) and older (≥65 years) groups.

Comparator

Younger (<65 yr) vs older (>=65 yr) patients

Outcome

Clinical manifestations and predicting factors for treatment-seeking delay (pre-hospital delay)patient reported

Main Result

Absolute Event Rate: 5% vs 12%

Older patients with first-time ACS experience longer pre-hospital delays and present with different symptoms (syncope, dyspnea) compared to younger patients, highlighting the need for age-specific education.

Cite This Study

Seon Young Hwang (2009) conducted a cross-sectional in first-time acute coronary syndrome (ACS) (n=288). Younger age (<65 years) vs. Older age (≥65 years) was evaluated on Median pre-hospital delay (hours). Younger patients (<65 years) with first-time acute coronary syndrome had a shorter median pre-hospital delay (5 hours) compared to older patients (12 hours).

synapsesocial.com/papers/6a71d445e5469ee92be227fe https://doi.org/10.4040/jkan.2009.39.6.888

Topics

Hypertension management

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Implication

Older first-time ACS patients may face longer pre-hospital delays; this cross-sectional analysis leaves open whether age-specific education shortens them.

Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Topics

Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Also Consider

Topics

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