ArticleIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
Predictors of Pre-hospital Delay in Myocardial Infarction: A Cross-sectional Study at a Tertiary Care Center of Ahmedabad, India.
Article in Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Myocardial infarction (MI) is a leading cause of death globally, with early treatment being critical in reducing mortality. Understanding determinants contributing to pre-hospital delay is essential to improve the outcome. Objective: The present study evaluated the time distribution between symptom onsets to hospital arrival and associated factors among patients with MI. Materials and Methods: A cross-sectional study included 105 MI patients admitted to a tertiary care teaching hospital in Ahmedabad city during March to August 2024. Patients fulfilling the inclusion criteria were interviewed using a pre-tested, semi-structured questionnaire. Pre-hospital delay was considered as the time elapsed from symptom onset to arrival at a tertiary care hospital among MI patients. Delay was categorized into two groups: ≤2 hours and >2 hours. Appropriate statistical tests were used to assess the association between factors influencing the time from symptom onset to hospital arrival. Results: The median time from symptom onset to tertiary hospital arrival was 90 minutes (Interquartile range: 45-210 minutes). Out of a total of 105 participants, 37 (35.2%) experienced delays of >2 hours. Younger age (odds ratio [OR]: 2.16; Conclusion: Approximately one-third of patients reported a delay of >2 hours. Younger age, female gender, nuclear family structure, previous episodes of symptoms, and misinterpretation of symptoms were significant determinants of pre-hospital delay in MI patients.
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