Key result
Innovative intervention methods significantly increased the rate of calling 911 and taking aspirin among older adults experiencing acute myocardial infarction symptoms (OR 2.55).
Why the study?
Older adults with acute myocardial infarction experience unique treatment delays and high mortality, requiring specific interventions tailored to their characteristics to promote on-time treatment.
Do AMI interventions improve decision-making, rate of calling 911, and mortality in community-dwelling older adults at risk or after a first myocardial infarction?
Meta-Analysis
Do AMI interventions improve decision-making, rate of calling 911, and mortality in community-dwelling older adults at risk or after a first myocardial infarction?
Odds Ratio: 2.55 (95% CI 1.01–6.44)
Innovative educational methods can increase the rate of calling 911 and taking aspirin among older adults experiencing AMI symptoms, though they may not significantly reduce time to presentation or mortality.
Enhances prehospital behaviors in older adults with AMI symptoms; extends intervention evidence without improving time to care or mortality.
The older adult is an influential group experiencing acute myocardial infarction, delaying treatment and causing a high mortality rate. Factors related to their delay differ from other age groups, and their specific characteristics are barriers to recognizing their symptoms and learning new information. Therefore, specific innovative methods related to their limitations and needs should be considered when developing interventions promoting on-time treatment. This study aims to review intervention details and their effects on knowledge, belief, decision-making, rate of calling 911, and mortality among community-dwelling older adults at risk or after a first myocardial infarction compared to receiving usual care or no intervention. The 12 databases were searched unlimitedly until July 30, 2022. The two researchers independently reviewed the articles, and the third reviewer broke the tight when disagreement was found. Data were extracted, kinds of interventions were grouped, and intervention details were summarized narratively. Finally, the selected outcomes were analyzed by meta-analysis using a fixed and a random-effects model. Eleven articles were for final review. Interventions were categorized into eight groups: direct mail, community-based, multi-group health education, innovation methods, tailored education, structured education, tricked intervention promoting memory and concern, and nurse-based case management. Finally, the meta-analysis found that only innovative methods could increase the rate of calling 911 and taking aspirin (Odd ratio = 2.55; 95% CI = 1.01-6.44). In contrast, there were no statistically significant differences in the rate of affecting time to first unplanned readmission or death and time delay to the emergency room. Results recommended that effective and specific interventions must be developed and strengthened to promote older adults surviving acute myocardial infarction.Clinical Trial Registration Number: PROSPERO CRD42021247136.
No takes yet. Share an insight, caveat, or question.
Banharak et al. (2023) conducted a meta-analysis in acute myocardial infarction. Innovative intervention methods vs. usual care or no intervention was evaluated on Rate of calling 911 and taking aspirin (OR 2.55, 95% CI 1.01-6.44). Innovative intervention methods significantly increased the rate of calling 911 and taking aspirin among older adults experiencing acute myocardial infarction symptoms (OR 2.55).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: