Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia

Good coronary care begins from the patient's home including early decision to seek medical attention. As such, it is recommended that the patients activate ambulances, rather than to use their own transportations to reach the hospitals. It is not known whether our Malaysian patients prefer to...

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Main Author: Annuar, Wan Masliza Wan Mohd
Format: Thesis
Language:English
Published: 2013
Subjects:
Online Access:http://eprints.usm.my/60855/1/DR%20WAN%20MASLIZA%20BINTI%20WAN%20MOHD%20ANNUAR%20-%20e.pdf
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author Annuar, Wan Masliza Wan Mohd
author_facet Annuar, Wan Masliza Wan Mohd
author_sort Annuar, Wan Masliza Wan Mohd
collection USM
description Good coronary care begins from the patient's home including early decision to seek medical attention. As such, it is recommended that the patients activate ambulances, rather than to use their own transportations to reach the hospitals. It is not known whether our Malaysian patients prefer to use private transportations or ambulances when they develop chest pain. This study aims to explore this research question. To explore 1) the patients’ interpretation regarding the symptoms they are experiencing -heart attack or other condition. 2) To determine the time delay between onset of symptoms to the activation of EMS or using own transportation to Emergency Department Elospital Universiti Sains Malaysia (HUSM). 3) To determine the patients’ preference of mode of transportation and the reason for it This is a cross-sectional study using open labeled structured questionnaire on patients diagnosed with acute coronary syndrome (ACS) in the emergency department of Hospital Universiti Sains Malaysia from June 2012 to November 2012. Out of the 110 patients surveyed, 105 (95.5%) patients chose to use own transportation when they developed symptoms suggestive of ACS. Only 3 patients (2.7%) came to the emergency department within 1 hour of onset, and all these 3 patients chose to use ambulances as their modes of transportation. None of the patients who chose own transportation came within the first hour of symptoms onset. This is shown to 0.001). The be statistically significant (p level of education as well as past history of ischemic heart disease did not significantly influence the patients’ choice of transportation. Overall, the awareness of symptoms of acute coronary syndrome is still poor. The extremely low percentage of patients choosing ambulances shows that there is a lot more educational work to be done to educate our community on acute coronary syndrome.
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spelling usm.eprints-608552024-11-14T03:40:47Z http://eprints.usm.my/60855/ Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia Annuar, Wan Masliza Wan Mohd R Medicine (General) RC31-1245 Internal medicine RD92-97.8 Emergency surgery. Wounds and injuries Good coronary care begins from the patient's home including early decision to seek medical attention. As such, it is recommended that the patients activate ambulances, rather than to use their own transportations to reach the hospitals. It is not known whether our Malaysian patients prefer to use private transportations or ambulances when they develop chest pain. This study aims to explore this research question. To explore 1) the patients’ interpretation regarding the symptoms they are experiencing -heart attack or other condition. 2) To determine the time delay between onset of symptoms to the activation of EMS or using own transportation to Emergency Department Elospital Universiti Sains Malaysia (HUSM). 3) To determine the patients’ preference of mode of transportation and the reason for it This is a cross-sectional study using open labeled structured questionnaire on patients diagnosed with acute coronary syndrome (ACS) in the emergency department of Hospital Universiti Sains Malaysia from June 2012 to November 2012. Out of the 110 patients surveyed, 105 (95.5%) patients chose to use own transportation when they developed symptoms suggestive of ACS. Only 3 patients (2.7%) came to the emergency department within 1 hour of onset, and all these 3 patients chose to use ambulances as their modes of transportation. None of the patients who chose own transportation came within the first hour of symptoms onset. This is shown to 0.001). The be statistically significant (p level of education as well as past history of ischemic heart disease did not significantly influence the patients’ choice of transportation. Overall, the awareness of symptoms of acute coronary syndrome is still poor. The extremely low percentage of patients choosing ambulances shows that there is a lot more educational work to be done to educate our community on acute coronary syndrome. 2013 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/60855/1/DR%20WAN%20MASLIZA%20BINTI%20WAN%20MOHD%20ANNUAR%20-%20e.pdf Annuar, Wan Masliza Wan Mohd (2013) Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia. Masters thesis, Universiti Sains Malaysia.
spellingShingle R Medicine (General)
RC31-1245 Internal medicine
RD92-97.8 Emergency surgery. Wounds and injuries
Annuar, Wan Masliza Wan Mohd
Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
title Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
title_full Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
title_fullStr Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
title_full_unstemmed Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
title_short Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
title_sort symptoms perception and pre hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department hospital universiti sains malaysia
topic R Medicine (General)
RC31-1245 Internal medicine
RD92-97.8 Emergency surgery. Wounds and injuries
url http://eprints.usm.my/60855/1/DR%20WAN%20MASLIZA%20BINTI%20WAN%20MOHD%20ANNUAR%20-%20e.pdf
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