Extent of, and factors associated with, delay to hospital presentation in patients with acute coronary disease (the GRACE registry)

The American Journal of Cardiology
Robert J GoldbergShaun Goodman

Abstract

Our primary study aim was to examine extent of, and factors associated with, delay in seeking medical care in a large multinational registry of patients with acute myocardial infarction (AMI) and unstable angina pectoris. A secondary goal was to examine the relation between duration of prehospital delay and receipt and timing of coronary reperfusion strategies. Investigators from 14 countries are participating in the Global Registry of Acute Coronary Events (GRACE) project. The study sample consisted of 3,693 patients with ST-segment elevation AMI, 2,935 with non-ST-segment elevation AMI, and 3,954 patients with unstable angina hospitalized between 1999 and 2001. The average and median delay times were longest in patients with non-ST-segment elevation AMI (6.1 and 3.0 hours, respectively) followed by patients with unstable angina (5.6 and 3.0 hours) and those with ST-segment elevation AMI (4.7 and 2.3 hours). Approximately 41% of patients with ST-segment elevation AMI presented to the 94 study hospitals within 2 hours of the onset of acute coronary symptoms; this compared with approximately one third of patients with non-ST-segment elevation AMI and unstable angina. Several demographic and clinical characteristics were associat...Continue Reading

Citations

May 24, 2012·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Inge KirchbergerChrista Meisinger
Jun 4, 2014·Journal of Medical Systems·Lichin ChenFeipei Lai
Sep 13, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Angela M MalekDaniel T Lackland
Dec 8, 2007·Journal of Women's Health·Marianne McCollumPatrick W Sullivan
Feb 28, 2004·Emergency Medicine Journal : EMJ·V LeahT J Coats
Sep 29, 2007·BMJ : British Medical Journal·Will T Roberts, Adam D Timmis
Jul 19, 2008·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Linda Perkins-PorrasAndrew Steptoe
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Kathleen DracupMichele Pelter
Feb 4, 2010·Circulation. Cardiovascular Quality and Outcomes·Hoa L NguyenRobert J Goldberg
Feb 10, 2010·The Journal of Cardiovascular Nursing·Holli A DeVonMoshe Shapiro
May 4, 2010·Environmental Health Perspectives·David Q RichJohn B Kostis
Oct 21, 2010·Circulation. Cardiovascular Quality and Outcomes·Hoa L NguyenRobert J Goldberg
Dec 4, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Debra K MoserKathleen Dracup
May 27, 2010·Wiener klinische Wochenschrift·Jakob DörlerUNKNOWN Austrian Acute PCI Investigators
May 1, 2013·Heart, Lung & Circulation·Rachel P DreyerChristopher Zeitz
Jan 16, 2016·Journal of Clinical Nursing·Rikke Madsen, Regner Birkelund
Sep 10, 2013·Heart & Lung : the Journal of Critical Care·Leslie L DavisTodd A Schwartz
Jul 28, 2013·La Presse médicale·Etienne PuymiratNicolas Danchin
Feb 14, 2012·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Veloso GomesIlídio de Jesus
Dec 31, 2015·Critical Care : the Official Journal of the Critical Care Forum·Marie Dam LauridsenChristian Fynbo Christiansen
Nov 28, 2008·Patient Education and Counseling·Fadi M Khraim, Mary G Carey
Dec 7, 2007·International Journal of Cardiology·Birga MaierUNKNOWN Berlin Myocardial Infarction Registry
Mar 17, 2007·Heart & Lung : the Journal of Critical Care·Tina L Harralson
Jul 15, 2005·The American Journal of Geriatric Cardiology·Jasenka Demirovic, Yen-Peng Li
Mar 21, 2009·Clinical Cardiology·Shouyan ZhangJingang Yang
Jan 14, 2005·Heart & Lung : the Journal of Critical Care·Hendrika MeischkeAnthony Cagle
Sep 30, 2004·Heart & Lung : the Journal of Critical Care·Ingela JohanssonEva Swahn
Jul 29, 2008·American Heart Journal·Basem ElbarouniUNKNOWN Canadian ACS Registries Investigators
Apr 13, 2004·American Heart Journal·Lawrence LiaoKevin A Schulman
Sep 20, 2006·The Journal of Emergency Medicine·Yoshimi FukuokaHaruo Hirayama

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