Impact of a public campaign on pre-hospital delay in patients reporting chest pain
Impact of a public campaign on pre-hospital delay in patients reporting chest pain
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DOI：
10.1136/hrt.76.2.150
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发表时间：
1996-08-01
期刊：
影响因子：
5.7
通讯作者：
Waldvogel, FA
中科院分区：
文献类型：
--
作者：
Gaspoz, JM;Unger, PF;Waldvogel, FA
Objective - To decrease pre-hospital delay in patients with chest pain.Design - Population based, prospective observational study.Setting - A province of Switzerland with 380 000 inhabitants.Subjects - All 1337 patients who presented with chest pain to the emergency department of the Hopital Cantonal Universitaire of Geneva during the 12 months of a multimedia public campaign, and the 1140 patients who came with similar symptoms during the 12 months before the campaign started.Main outcome measures - Pre-hospital infarction (AMI) and unstable angina.Results - Mean pre-hospital delay decreased from 7h 50min before the campaign to 4h 54min during it, and median delay from 180min to 155min (P < 0.001). For patients with a final diagnosis of AMI, mean delay decreased from 9h 10min to 5h 10min and median delay from 195min to 155min (P < 0.002). Emergency department visits per week for AMI and unstable angina increased from 11.2 before the campaign to 13.2 during it (P < 0.02), with an increase to 27 (P < 0.01) during the first week of the campaign; visits per week for non-cardiac chest pain increased from 7.6 to 8.1 (P = NS) during the campaign, with an increase to 17 (P < 0.05) during its first week.Conclusions - Public campaigns may significantly reduce pre-hospital delay in patients with chest pain. Despite transient increases in emergency department visits for non-cardiac chest pain, such campaigns may significantly increase hospital visits for AMI and unstable angina and thus be cost effective.
