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April 15, 1997Annals of Internal Medicine

Delayed Hospital Presentation in Patients Who Have Had Acute Myocardial Infarction

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Key result

Among patients with acute myocardial infarction, 40% delayed hospital presentation for more than 6 hours, with advanced age, female sex, and evening hours increasing the risk of delay.

Population

2409 persons hospitalized with acute myocardial infarction between October 1992 and July 1993 across 37…

Design

Cohort

Authors

JGJerry H. Gurwitz

Discussion

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Overview

Supports targeted education for older women presenting evenings; leaves open whether interventions reduce AMI delays.

Study Design

Type

Observational (n=2,409)

Multicenter

Yes

Structured PICO

P
Population
2,409 patients hospitalized with acute myocardial infarction across 37 hospitals in Minnesota between October 1992 and July 1993.
O
Outcome
Hospital presentation delayed more than 6 hours after the onset of symptoms of acute myocardial infarction

A significant proportion (40%) of patients with acute myocardial infarction delay hospital presentation for more than 6 hours, with advanced age, female sex, and hypertension being key risk factors for delay.

Cite This Study

Jerry H. Gurwitz (1997) conducted an observational in acute myocardial infarction (n=2,409). Patient demographics and clinical characteristics was evaluated on Hospital presentation delayed more than 6 hours after the onset of symptoms of acute myocardial infarction. Among patients with acute myocardial infarction, 40% delayed hospital presentation for more than 6 hours, with advanced age, female sex, and evening hours increasing the risk of delay.

synapsesocial.com/papers/6a9405a265578a3bc5fec6cahttps://doi.org/10.7326/0003-4819-126-8-199704150-00001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Decade-Long Trends and Factors Associated With Time to Hospital Presentation in Patients With Acute Myocardial Infarction2000 · 168 citations
  2. 2Determinants of delay between symptoms and hospital admission in 5978 patients with acute myocardial infarction1996 · 112 citations
  3. 3Causes of Pre-Hospital Delay in Patients with Acute Myocardial Infarction2011
  4. 4Time to Presentation With Acute Myocardial Infarction in the Elderly2000 · 259 citations
  5. 5Patient Delay in Seeking Treatment for Acute Myocardial Infarction Symptoms1999 · 50 citations