Abstract
This study explores factors related to delayed emergency medical treatment for acute myocardial infarction patients on Kinmen Island. A cross-sectional study was performed in the only hospital in Kinmen Island. The study group consisted of 116 patients diagnosed with acute myocardial infarction (AMI, ICD-10 codes: I21.9) from November 2015 to May 2019. The binary logistic regression analyses were performed for the inferential statistical analysis. The mean age of the study group was 63.0 ± 14.5 years, 39.7% of the patients arrived at the emergency medicine longer than 6 h after the onset of symptoms. The related factors for delayed arrival the hospital emergency medicine department were female sex, age over 65 years, less than nine years’ education, and Killip Class, but only Killip Class reached the significant difference of statistics (OR = 3.616, 95% C.I. = 1.574 to 8.310, p = 0.002), and patients with delayed arrival times (>6 h) were found to have a higher percentage of Killip Class ≥ II. Therefore, it is essential to remind the physicians to proceed with risk stratification for acute coronary syndrome patients. In addition, health authorities should provide effective programs to increase awareness of the symptoms and timely treatment of acute myocardial infraction to the general public, especially the elderly.
Highlights
Inferential statistics analysis was not used Since there were only 27 patients with Killip scores three or higher, cases whose Killip Class was ≥II were combined as the high score group for the inferential analysis
The Acute myocardial infarction (AMI) patients diagnosed as ST-elevation myocardial infarction (STEMI) were found to have a higher prevalence of time to emergency room (ER) > 6 h than non-ST-segment elevation myocardial infarction (NSTEMI) (48.9% vs. 33.3%), but AMI type and chronic disease status, such as hypertension, diabetes mellitus, and hyperlipidemia, did not reach statistically significant difference (p > 0.05)
We found that Killip Class is a significant issue relating to delayed arrival at ER for medical care of AMI patients in Kinmen
Summary
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Heart disease is a major health problem worldwide and is currently the leading cause of death in the USA [1]. There are more than 1000 deaths caused by cardiovascular diseases (CVD) daily, with 2.2 million hospitalizations and 415,480 deaths in 2016 [2].
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