Izvorni znanstveni članak
Pain to Hospital Times After Myocardial Infarction in Patients from Dalmatian Mainland and Islands, Southern Croatia
Katarina Novak
; Department of Internal Medicine University of Split Hospital Center, Split, Croatia
Jure Aljinović
; Department of Anatomy, Histology, and Embryology University of Split School of Medicine, Split, Croatia
Sandra Kostić
Vesna Čapkun
; Department of Nuclear Medicine University of Split Hospital Center Split, Croatia
Kristijana Novak Ribičić
; Department of Gynecology and Obstetrics, University of Split Hospital Center, Split, Croatia
Tonći Batinić
; Department of Radiology University of Split Hospital Center Split, Croatia
Ivana Štula
; Department of Radiology University of Split Hospital Center, Split, Croatia
Livia Puljak
orcid.org/0000-0002-8467-6061
; Department of Anatomy Histology, and Embryology University of Split School of Medicine, Split, Croatia
Sažetak
Aim To analyze pre-hospital delay in patients with myocardial
infarction from mainland and islands of Split-Dalmatian
County, southern Croatia.
Methods The study included all patients with myocardial
infarction transported by ambulance to the University Hospital
Split in 1999, 2003, and 2005. Pre-hospital delay was
analyzed in the following intervals: pain-to-call, call-to-ambulance,
ambulance-to-door, and door-to-coronary care
unit interval. Patients were categorized according to the
location from which they were transported: Split, mainland
>15 km from Split, and islands.
Results There were 1314 patients (62.9% men) transported
and hospitalized for myocardial infarction. Total prehospital
delay (pain-to-hospital) was significantly reduced
from 1999 to 2005 (5.2 hours vs 4.3 hours, P = 0.011). Seventy-
five patients (5.7%) were admitted to the coronary care
unit within the recommended time-frame of less than 90
minutes, none of which was from the islands, while 248
patients (18.9%) were admitted more than 12 hours from
the onset of pain.
Conclusion Pre-hospital delay in patients with myocardial
infarction in southern Croatia is still too long, especially
in patients coming from outside of Split. Prognosis and
survival of such patients may be improved by introducing
changes to the health care system in remote areas, such
as out-of-hospital thrombolysis, greater use of telemedicine,
training of lay persons and paramedics in defibrillation,
introduction of quality assessment mechanisms, and
improved patient transport.
Ključne riječi
acute myocardial infarction; hospital admission; emergency medical services; treatment delay; islands, mainland
Hrčak ID:
63519
URI
Datum izdavanja:
15.10.2010.
Posjeta: 1.400 *