GENDER DIFFERENCE AND FACTORS AFFECTING PRE HOSPITAL DELAY AMONG PATIENTS WITH ACUTE MYOCARDIAL INFRACTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 34
Abstract
BACKGROUND Acute Myocardial Infraction (AMI) is a serious and life-threatening manifestation of coronary artery disease (CAD) affecting both males and females, which need immediate management. The present study was aimed to assess the gender difference and factors affecting pre-hospital delay among patients with AMI. MATERIALS AND METHODS The 290 patients admitted with AMI from 13-02-2016 to 26-03-2016 were studied. A descriptive comparative design was adopted for the study. Socio personal and clinical variables of the subjects were assessed. Pre-hospital delay was measured in terms of time from the onset of symptoms till the patient reaches a health care setting. One hour after the onset of symptom of AMI was considered as the Golden hour. Data was analysed using SPSS 20.0 software. RESULTS Out of the 290 patients with AMI (145 males and 145 females), only 32.4% of males and 24.1% of females reached a health care setting within 1 hr of onset of symptoms. 35.2% of male patients and 43.5% of female patients reached the health care setting only after 6 hrs of onset of symptoms. Among the male patients, prehospital delay was significantly associated with place of onset of symptoms (p<0.05), presence of someone with the patient at the time of onset of symptoms (p<0.05), and perception of symptoms developed, as an emergency (P<0.001). Whereas in female patients, significant association was observed in prehospital delay with age of the patient (p<0.05), nature of the first symptom experienced (P<0.05) and perception of symptoms developed as an emergency (p<0.001). CONCLUSION The present study throws light into the existence of prehospital delay among patients with AMI in both males and females. The factors affecting prehospital delay vary between males & females.
Authors and Affiliations
Reshmi R. Nair, Bindu Pullattu Chacko, Bindumol Kavungathodi, Sajeev Chakkanalil Govindan, Vinayakumar Desabandhu
Keywords
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- EP ID EP571112
- DOI 10.18410/jebmh/2018/519
- Views 67
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