An initial analysis: working hours and delay in seeking care during acute coronary events

The American Journal of Emergency Medicine
Yoshimi FukuokaKathleen Dracup

Abstract

The purpose of the study was to examine the association between working hours, job strain, and duration of prehospital delay in seeking care by employed patients with acute coronary syndrome (ACS) in the United States and Japan. In this cross-sectional study, a total of 234 consecutive patients (Americans, n = 148; mean age, 50.7 [SD +/- 7.1] years and 73.6% male, and Japanese, n = 86; mean age, 56.3 [SD +/- 11.0] years and 93.0% male) admitted with ACS who worked more than 20 h/wk were recruited. A structured interview was conducted while patients were hospitalized to assess prehospital delay time, ambulance use, number of working hours per week, and job strain. In the US sample, the median delay time was 4.4 hours, whereas in the Japanese sample, the median delay time was 8.3 hours. Average working hours per week in the US and Japanese samples were 49.7 (SD +/- 13.2) hours and 55.1 (SD +/- 19.5) hours, respectively. In multivariate analysis, the interaction between working hours and nationality on log-transformed delay time was significant (P = .001) after controlling for potential confounding factors. Among the Japanese sample, for every 1-hour increase in working hours per week, prehospital delay increased by approximately ...Continue Reading

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Citations

Oct 12, 2012·Irish Journal of Medical Science·J D GroarkeN G Mahon
Sep 7, 2012·American Journal of Epidemiology·Marianna VirtanenMika Kivimäki
Dec 12, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Beom Joon KimUNKNOWN ABBA Study Investigators
Nov 15, 2011·Heart & Lung : the Journal of Critical Care·Victoria Vaughan DicksonMargaret M McCarthy
Feb 18, 2014·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Martha H MackayGilat Grunau
Aug 15, 2019·Nursing & Health Sciences·Samar NoureddineHassan Maatouk
Oct 1, 2019·Medical Care·Brian C PeachJeannie P Cimiotti
Oct 3, 2018·Current Cardiology Reports·Marianna Virtanen, Mika Kivimäki
Mar 9, 2021·Journal of Occupational Health·Tomohiro Ishimaru, Yoshihisa Fujino

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