A MEDIA CAMPAIGN AIMING AT REDUCING DELAY TIMES AND INCREASING THE USE OF AMBULANCE IN AMI

被引：39

作者：

BLOHM, M ^{[1
]}

HARTFORD, M ^{[1
]}

KARLSON, BW ^{[1
]}

KARLSSON, T ^{[1
]}

HERLITZ, J ^{[1
]}

机构：

[1] GOTHENBURG UNIV,SAHLGRENS HOSP,DEPT MED 1,DIV CARDIOL,S-41345 GOTHENBURG,SWEDEN

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1994年 / 12卷 / 03期

关键词：

ACUTE MYOCARDIAL INFARCTION; AMBULANCE CAMPAIGN; DELAY;

D O I：

10.1016/0735-6757(94)90147-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

To improve the prognosis in patients with acute myocardial infarction (AMI) if treatment by early instituting treatment, we initiated a media campaign during 1 year with the intention to reduce delay times and increase ambulance use in patients with acute chest pain. This article describes the outcome during 3 years after the campaign was finished. The median delay time in patients with AMI was reduced from 3 hours 0 min before the campaign to 2 hours 20 minutes during the year of the campaign (P < .001). The median delay time remained at a similar level (2 hours 20 min) during the 3 years after the campaign. Ambulance use was not affected during or after the campaign. It can be concluded that a media campaign resulted in a reduction of delay times not only during the campaign, but also during 3 years after its pertormance, whereas ambulance use was not affected. © 1994.

引用

页码：315 / 318

页数：4

共 11 条

[1] Bigger, Dresdale, Heiss en Buttel, Et al., Ventricular arrhythmias in ischemia heart disease: Mechanisms, prevalence, significance and management, Prog Cardiovasc Dis, 19, (1977)
[2] Simoons, Serruys, van den Brand, Et al., Early thrombolysis in acute myocardial Infarction: Limitation of infarct size and improved survival, J Am Coll Cardiol, 7, pp. 717-728, (1986)
[3] Moss, Wynar, Goldstein, Delay in hospitalization during the acute coronary period, Am J Cardiol, 24, (1969)
[4] Herlitz, Blohm, Hartford, Et al., Follow-up of a 1-year media campaign on delay times and ambulance use in suspected acute myocardial infarction, Eur Heart J, 13, pp. 171-177, (1992)
[5] Mitic, Perkins, The effect of a media campaign on heart attack delay and decision times, Can J Publ Health, 75, pp. 414-418, (1984)
[6] Rowley, Hill, Mitchell, Early reporting of myocardial infarction: impact of an experiment in patient education, Br Med J, 284, pp. 1741-1746, (1982)
[7] O'Rourke, Ballandyne, Thompson, Community aspects of coronary thrombolysis: Public education and cost effectiveness, Thrombolysis in Cardiovascular Disease, pp. 309-324, (1989)
[8] Ho, Eisenberg, Litwin, Et al., Delay between onset of chest pain and seeking medical care: The effect of public education, Ann Emerg Med, 18, pp. 727-731, (1989)
[9] Herlitz, Hartford, Blohm, Et al., Effect of a media campaign on delay times and ambulance use in suspected acute myocardial infarction, Am J Cardiol, 64, pp. 90-93, (1989)
[10] Hartford, Karlson, Sjolin, Et al., Symptoms, thoughts and environmental factors in suspected acute myocardial infarction, Heart Lung, 22, pp. 64-70, (1993)

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