K Dracup1, D K Moser. 1. University of California, Los Angeles, USA.
Abstract
OBJECTIVE: To determine the impact of sociodemographic, clinical, cognitive, emotional, and social factors on patient delay in seeking treatment for symptoms of acute myocardial infarction. DESIGN: Multicenter descriptive survey. SETTING: Forty-three hospitals in North America. SUBJECTS: Two hundred and seventy-seven patients with confirmed acute myocardial infarction enrolled in a thrombolytic clinical trial. OUTCOME MEASURES: Time from symptom onset to arrival at the hospital for treatment. RESULTS: Patients with longer delays were older, had lower incomes, had diabetes, experienced their symptoms at home, did not appraise their symptoms as serious or originating from the heart, had symptoms that were intermittent in nature, waited to see whether symptoms disappeared, worried about troubling others, feared what might happen if they sought treatment, and did not realize the importance of symptoms. CONCLUSION: Patient appraisal of seriousness of symptoms is related to delay, whereas severity, nature, and knowledge of symptoms are not related. Cognitive and emotional responses affect patients' decisions to seek treatment.
OBJECTIVE: To determine the impact of sociodemographic, clinical, cognitive, emotional, and social factors on patient delay in seeking treatment for symptoms of acute myocardial infarction. DESIGN: Multicenter descriptive survey. SETTING: Forty-three hospitals in North America. SUBJECTS: Two hundred and seventy-seven patients with confirmed acute myocardial infarction enrolled in a thrombolytic clinical trial. OUTCOME MEASURES: Time from symptom onset to arrival at the hospital for treatment. RESULTS:Patients with longer delays were older, had lower incomes, had diabetes, experienced their symptoms at home, did not appraise their symptoms as serious or originating from the heart, had symptoms that were intermittent in nature, waited to see whether symptoms disappeared, worried about troubling others, feared what might happen if they sought treatment, and did not realize the importance of symptoms. CONCLUSION:Patient appraisal of seriousness of symptoms is related to delay, whereas severity, nature, and knowledge of symptoms are not related. Cognitive and emotional responses affect patients' decisions to seek treatment.
Authors: Pamela A Ratner; Roula Tzianetas; Andrew W Tu; Joy L Johnson; Martha Mackay; Christopher E Buller; Maureen Rowlands; Birgit Reime Journal: J Epidemiol Community Health Date: 2006-07 Impact factor: 3.710
Authors: Jonathan D Newman; Karina W Davidson; Siqin Ye; Jonathan A Shaffer; Daichi Shimbo; Paul Muntner Journal: Am J Cardiol Date: 2012-10-02 Impact factor: 2.778
Authors: Kathleen Dracup; Sharon McKinley; Lynn V Doering; Barbara Riegel; Hendrika Meischke; Debra K Moser; Michele Pelter; Beverly Carlson; Leanne Aitken; Andrea Marshall; Rebecca Cross; Steven M Paul Journal: Arch Intern Med Date: 2008-05-26