علل تاخير مراجعه بيماران سكته حاد قلبي در بيمارستان هاي كرمان در سال 1379

The Causes of Delaying Hospital Admission of Patients with Acute Myocardial Infarction to the Hospitals in Kerman City(2000)

Background:. Delays in treatment of AMI has a negative effect on patientʹs prognosis. This study performed to determine the influence of several factors including: age, sex, socio-economic situation, opium addiction, history of diabetes mellitus, history of ischemuic heart disease, intensity of pain at onset of infarction, time of symptoms onset, living alone, visiting the physician and distance from hospital, on patients delay in patients with AMI. Materials and Methods: This study was performed on 300 consecutive patients with AMI admitted to Kerman hospitals in a seven months period. Time between onest of symptoms and arriving to the hospital considered as delay if it was more than six hours. The data were collected using a questionaire by a Physician. Results: Patients divided into two groups based on the duration of delay. 203 patients had a delay less than six hours from symptomʹs onset, and 97 patients had more than six hours delay. Among the patientʹs related variables, history of diabetes mellitus (P=0.017) and low intensity of pain at onset of infarction P=0.0087 were associated with the duration of delay significantly. Conclusion: History of diabetes mellitus and low intensity of pain at onset of infarction can increase delay and decrease the efficiency of treatmeat.Therefrore it is essential to increase the patientsʹ awareness especially diabetic patients that are at high risk to hospital as soon as possible to improve prognosis of AMI.