Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study
<p>Abstract</p> <p>Background</p> <p>Reperfusion therapy reduces both morbidity and mortality in myocardial infarction, but the effectiveness depends on how fast the patient receives treatment. Despite the time-dependent effectiveness of reperfusion therapy, many patien...
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| Format: | Article |
| Language: | English |
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BMC
2013-01-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | http://www.biomedcentral.com/1471-2261/13/6 |
| _version_ | 1811245788298215424 |
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| author | Ängerud Karin Hellström Brulin Christine Näslund Ulf Eliasson Mats |
| author_facet | Ängerud Karin Hellström Brulin Christine Näslund Ulf Eliasson Mats |
| author_sort | Ängerud Karin Hellström |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Reperfusion therapy reduces both morbidity and mortality in myocardial infarction, but the effectiveness depends on how fast the patient receives treatment. Despite the time-dependent effectiveness of reperfusion therapy, many patients with myocardial infarction have delays in seeking medical care. The aim of this study was to describe pre-hospital delay in a first myocardial infarction among men and women with and without diabetes and to describe the association between pre-hospital delay time and diabetes, sex, age, symptoms and size of residential area as a proxy for distance to hospital.</p> <p>Methods</p> <p>This population based study was based on data from 4266 people aged 25–74 years, with a first myocardial infarction registered in the Northern Sweden MONICA myocardial infarction registry between 2000 and 2008.</p> <p>Results</p> <p>The proportion of patients with delay times ≥ 2 h was 64% for patients with diabetes and 58% for patients without diabetes. There was no difference in delay time ≥ 2 h between men and women with diabetes. Diabetes, older age and living in a town or rural areas were factors associated with pre-hospital delay times ≥ 2 h. Atypical symptoms were not a predictor for pre-hospital delay times ≥ 2 h, OR 0.59 (0.47; 0.75).</p> <p>Conclusions</p> <p>A higher proportion of patients with diabetes have longer pre-hospital delay in myocardial infarction than patients without diabetes. There are no differences in pre-hospital delay between men and women with diabetes. The largest risk difference for pre-hospital delay ≥ 2 h is between women with and without diabetes. Diabetes, older age and living in a town or rural area are predictors for pre-hospital delay ≥ 2 h.</p> |
| first_indexed | 2024-04-12T14:44:24Z |
| format | Article |
| id | doaj.art-81591b31f2374152951bfe3922b9fa3e |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-12T14:44:24Z |
| publishDate | 2013-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-81591b31f2374152951bfe3922b9fa3e2022-12-22T03:28:42ZengBMCBMC Cardiovascular Disorders1471-22612013-01-01131610.1186/1471-2261-13-6Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA StudyÄngerud Karin HellströmBrulin ChristineNäslund UlfEliasson Mats<p>Abstract</p> <p>Background</p> <p>Reperfusion therapy reduces both morbidity and mortality in myocardial infarction, but the effectiveness depends on how fast the patient receives treatment. Despite the time-dependent effectiveness of reperfusion therapy, many patients with myocardial infarction have delays in seeking medical care. The aim of this study was to describe pre-hospital delay in a first myocardial infarction among men and women with and without diabetes and to describe the association between pre-hospital delay time and diabetes, sex, age, symptoms and size of residential area as a proxy for distance to hospital.</p> <p>Methods</p> <p>This population based study was based on data from 4266 people aged 25–74 years, with a first myocardial infarction registered in the Northern Sweden MONICA myocardial infarction registry between 2000 and 2008.</p> <p>Results</p> <p>The proportion of patients with delay times ≥ 2 h was 64% for patients with diabetes and 58% for patients without diabetes. There was no difference in delay time ≥ 2 h between men and women with diabetes. Diabetes, older age and living in a town or rural areas were factors associated with pre-hospital delay times ≥ 2 h. Atypical symptoms were not a predictor for pre-hospital delay times ≥ 2 h, OR 0.59 (0.47; 0.75).</p> <p>Conclusions</p> <p>A higher proportion of patients with diabetes have longer pre-hospital delay in myocardial infarction than patients without diabetes. There are no differences in pre-hospital delay between men and women with diabetes. The largest risk difference for pre-hospital delay ≥ 2 h is between women with and without diabetes. Diabetes, older age and living in a town or rural area are predictors for pre-hospital delay ≥ 2 h.</p>http://www.biomedcentral.com/1471-2261/13/6Myocardial infarctionDiabetes mellitusPre-hospital delaySex differences |
| spellingShingle | Ängerud Karin Hellström Brulin Christine Näslund Ulf Eliasson Mats Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study BMC Cardiovascular Disorders Myocardial infarction Diabetes mellitus Pre-hospital delay Sex differences |
| title | Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study |
| title_full | Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study |
| title_fullStr | Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study |
| title_full_unstemmed | Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study |
| title_short | Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the Northern Sweden MONICA Study |
| title_sort | longer pre hospital delay in first myocardial infarction among patients with diabetes an analysis of 4266 patients in the northern sweden monica study |
| topic | Myocardial infarction Diabetes mellitus Pre-hospital delay Sex differences |
| url | http://www.biomedcentral.com/1471-2261/13/6 |
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