Factors Associated With Prehospital Delay in Acute Coronary Syndrome, Among Men and Women in Karachi, Pakistan

2.50
Hdl Handle:
http://hdl.handle.net/10755/335593
Category:
Abstract
Type:
Presentation
Title:
Factors Associated With Prehospital Delay in Acute Coronary Syndrome, Among Men and Women in Karachi, Pakistan
Author(s):
Allana, Saleema Mansoor
Lead Author STTI Affiliation:
Rho Delta
Author Details:
Saleema Mansoor Allana, MScN, BScN, saleema.allana@aku.edu
Abstract:
Session presented on Monday, July 28, 2014: Purpose: Prehospital delay in Acute Coronary Syndrome (ACS) is the time from the onset of ACS symptoms till the patient‘s arrival at the hospital‘s Emergency Department (ED). Despite the known significance of prehospital delay time (PDT) in determining clinical outcomes in ACS, quite prolonged delay times have been reported among ACS patients, globally. Gender differences in PDT and its associated factors have been explored internationally; however, this phenomenon has not been studied before in Pakistan. The current study aimed to identify gender differences in the PDT, its components, and in the factors of delay among ACS patients. The study also aimed to explore the independent correlates of the PDT, among men and women with ACS. Methods: This analytical, comparative, cross-sectional study was conducted on 249 ACS patients at the Aga Khan University Hospital and at the Karachi Institute of Heart Diseases, between February and April, 2011. Data was collected through the modified ‗Response to Symptoms Questionnaire‘, and it was analyzed using comparative and regression analyses. Results: The median PDT of women was found to be 7 hours, as opposed to 3.5 hours among men (P-Value: 0.001). Women had a median decision delay‘ of 3 hours, versus 1.5 hours among men (P-Value: <0.001). The median physician-to-hospital delay‘ was 4.5 hours among women, versus 2 hours among men (P-Value: 0.008). Significantly prolonged delay times were observed when patients consulted general physicians (GPs). Moreover, most women delayed due to social factors, like responses of attendants to the patients‘ symptoms‘ (P-Value: 0.002), delayed because was worried about expenses required for the treatment‘(P-Value: 0.002), and not wanting to trouble others‘(P-Value: 0.1); whereas, most men delayed due to individual related factors, like waiting for symptoms to subside‘(P-Value: <0.001), not recognizing the symptoms as cardiac‘(P-Value: <0.001), and behavioral response to the symptoms‘(P-Value: 0.08). Having anxiety‘ and lack of knowledge about symptoms‘ were associated with extended PDT among both genders. Conclusion: This study concludes that women delayed more than men in reaching the hospital, and both the genders had different factors of delay. The findings of the current study may be of value for other international studies on the subject. With respect to Pakistan, this possibly seminal baseline study may provide important insights for designing empirical and interventional studies, in the future.
Keywords:
Acute Coronary Syndrome; Health Seeking Behavior; Gender difference
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFactors Associated With Prehospital Delay in Acute Coronary Syndrome, Among Men and Women in Karachi, Pakistanen_GB
dc.contributor.authorAllana, Saleema Mansooren_GB
dc.contributor.departmentRho Deltaen_GB
dc.author.detailsSaleema Mansoor Allana, MScN, BScN, saleema.allana@aku.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335593-
dc.description.abstractSession presented on Monday, July 28, 2014: Purpose: Prehospital delay in Acute Coronary Syndrome (ACS) is the time from the onset of ACS symptoms till the patient‘s arrival at the hospital‘s Emergency Department (ED). Despite the known significance of prehospital delay time (PDT) in determining clinical outcomes in ACS, quite prolonged delay times have been reported among ACS patients, globally. Gender differences in PDT and its associated factors have been explored internationally; however, this phenomenon has not been studied before in Pakistan. The current study aimed to identify gender differences in the PDT, its components, and in the factors of delay among ACS patients. The study also aimed to explore the independent correlates of the PDT, among men and women with ACS. Methods: This analytical, comparative, cross-sectional study was conducted on 249 ACS patients at the Aga Khan University Hospital and at the Karachi Institute of Heart Diseases, between February and April, 2011. Data was collected through the modified ‗Response to Symptoms Questionnaire‘, and it was analyzed using comparative and regression analyses. Results: The median PDT of women was found to be 7 hours, as opposed to 3.5 hours among men (P-Value: 0.001). Women had a median decision delay‘ of 3 hours, versus 1.5 hours among men (P-Value: <0.001). The median physician-to-hospital delay‘ was 4.5 hours among women, versus 2 hours among men (P-Value: 0.008). Significantly prolonged delay times were observed when patients consulted general physicians (GPs). Moreover, most women delayed due to social factors, like responses of attendants to the patients‘ symptoms‘ (P-Value: 0.002), delayed because was worried about expenses required for the treatment‘(P-Value: 0.002), and not wanting to trouble others‘(P-Value: 0.1); whereas, most men delayed due to individual related factors, like waiting for symptoms to subside‘(P-Value: <0.001), not recognizing the symptoms as cardiac‘(P-Value: <0.001), and behavioral response to the symptoms‘(P-Value: 0.08). Having anxiety‘ and lack of knowledge about symptoms‘ were associated with extended PDT among both genders. Conclusion: This study concludes that women delayed more than men in reaching the hospital, and both the genders had different factors of delay. The findings of the current study may be of value for other international studies on the subject. With respect to Pakistan, this possibly seminal baseline study may provide important insights for designing empirical and interventional studies, in the future.en_GB
dc.subjectAcute Coronary Syndromeen_GB
dc.subjectHealth Seeking Behavioren_GB
dc.subjectGender differenceen_GB
dc.date.available2014-11-17T13:55:31Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:55:31Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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