Association of educational level with delay of prehospital care before reperfusion in STEMI

The American Journal of Emergency Medicine
Ju Yeon HeoYoung Sun Ro

Abstract

Rapid access to reperfusion is important in ST-segment elevation myocardial infarction (STEMI). The goal of this study is to assess the association of the educational level of patients with STEMI and prehospital and inhospital delay before reperfusion. We used a nationwide database of 31 emergency departments for cardiovascular disease surveillance operated by the Korean Centers for Disease Control and Prevention. ST-segment elevation myocardial infarction cases registered from November 2007 to December 2012 were enrolled. Cases younger than 18 years old or missing educational history were excluded. Educational level was characterized as low (completion of elementary school or less), medium (completion of middle or high school), and high (completion of a bachelor's degree or higher). We compared prehospital and inhospital delay for 3 educational groups. A general linear regression was used to assess the association of educational level with the time from symptom to hospital arrival. A total of 9028 patients with STEMI were included. The median time from symptom to hospital arrival was 144, 76, and 68 minutes in the low, medium, and high education groups, respectively (P < .01). Educational level had no significant effect on the...Continue Reading

References

Oct 26, 1978·The New England Journal of Medicine·K D Rosenman
Dec 1, 1978·Journal of Epidemiology and Community Health·M G MarmotP J Hamilton
Dec 1, 1990·International Journal of Epidemiology·J SiegristG Schettler
Aug 14, 1987·JAMA : the Journal of the American Medical Association·J E BuringC H Hennekens
Jun 1, 1993·International Journal of Epidemiology·B H DennisH A Tyroler
Jun 12, 2003·Journal of the American College of Cardiology·Sunil V RaoEric D Peterson
May 26, 2004·Archives of Internal Medicine·Sunil V RaoJames G Jollis
Mar 16, 2005·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·JiWon R LeeLori Mosca
Jan 19, 2006·Annals of Internal Medicine·David A AlterUNKNOWN SESAMI Study Group
Mar 16, 2006·Journal of Epidemiology and Community Health·Jeppe N RasmussenMette Madsen
Jun 6, 2008·Mayo Clinic Proceedings·Yariv GerberVéronique L Roger
Mar 10, 2009·Revista española de cardiología·UNKNOWN Task Force on the management of ST-segment elevation acute myocardial infarctionMichael Weis
Dec 10, 2009·Korean Circulation Journal·Jae Seok HongJaiyong Kim
Feb 9, 2011·International Journal for Equity in Health·Tahereh DonyaviAli Montazeri
Jan 10, 2012·Annals of Epidemiology·Aino LammintaustaUNKNOWN FINAMI Study Group
Aug 10, 2012·Journal of Korean Medical Science·Yong Hwan ParkYoung Dae Kim
Dec 19, 2014·Circulation·Dariush MozaffarianUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee

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Citations

Jan 31, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Enrico FabrisGilles Montalescot
Nov 3, 2017·European Journal of Public Health·Sara Lena SchröderMatthias Richter

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