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April 3, 2016Journal of the American Heart AssociationOpen Access

Decade Long Trends (2001–2011) in Duration of Pre‐Hospital Delay Among Elderly Patients Hospitalized for an Acute Myocardial Infarction

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Key result

Prehospital delay in elderly AMI patients stagnates at a median of 2.0 hours over a decade.

Why the study?

Current trends and factors associated with prolonged prehospital delay among elderly patients hospitalized with AMI are incompletely understood.

Population

Elderly patients 65 years and older hospitalized with confirmed AMI at 11 medical centers in central Massachusetts between 2001 and 2011

Comparison

No comparison groups; analysis of prehospital delay duration over time and by age strata

Design

Population-based observational study using hospital medical records

Authors

RMRaghavendra MakamCleveland ClinicNENathaniel ErskineUniversity of North Carolina at Chapel HillJYJorge YarzebskiMcGill University

Discussion

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Implication

Stagnant prehospital delays in elderly AMI signal need for targeted awareness campaigns; leaves open whether interventions can shorten presentation times.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

P
Population
Elderly patients aged 65 years and older hospitalized with a confirmed acute myocardial infarction at 11 medical centers in central Massachusetts between 2001 and 2011.
O
Outcome
Duration of prehospital delay after onset of acute coronary symptoms

Prehospital delay in seeking medical care for AMI among elderly patients remained unchanged at a median of 2.0 hours over a decade, highlighting an ongoing public health concern.

Cite This Study

Makam et al. (2016) conducted an observational in Acute myocardial infarction. Time period (2001-2011) was evaluated on Duration of prehospital delay after onset of acute coronary symptoms. The overall median duration of prehospital delay among elderly patients hospitalized with AMI was 2.0 hours, with no significant changes over time between 2001 and 2011.

synapsesocial.com/papers/6ab779ee75407bc9b085a196https://doi.org/10.1161/jaha.115.002664

Topics

Heart failure hospitalization
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Time to Presentation With Acute Myocardial Infarction in the Elderly2000 · 259 citations
  2. 2Determinants of delay between symptoms and hospital admission in 5978 patients with acute myocardial infarction1996 · 112 citations
  3. 3Recent changes in attack and survival rates of acute myocardial infarction (1975 through 1981). The Worcester Heart Attack Study1986 · 218 citations