Correlation between Clinical and Educational Factors and Delayed Hospital Arrival in Myocardial Infarction
Andressa Sardá Maiochi Takagui
Daniel Medeiros Moreira
Ana Teresa Glaser Carvalho
Thays Fraga Duarte
Roberto Léo da Silva
Background: Acute myocardial infarction is one of the main causes of morbidity and mortality in the world, and one of the factors with the greatest prognostic impact is early specialist care, but there are still many factors that delay patient's arrival at the hospital.
Objective: To correlate social, educational, cognitive and clinical factors with time to hospital arrival after the onset of acute myocardial infarction's first symptoms.
Methods: Time interval to search for medical care was measured by patient's report of the onset of infarction's first symptoms and hospital admission verified through electronic medical data of the emergency service. The correlation between delta-T and other variables was performed through Kendall's correlation. Values of p < 0.05 were considered statistically significant.
Results: There was no correlation between delta-T and scholarity, or between delta - T and Mini Mental State Examination performance, as well as no association between the presence of hypertension, diabetes mellitus, dyslipidemia, family history, sedentary lifestyle or smoking with arrival time at the hospital. Comparisons between delta-T and marital status were also not statistically significant. Transfer from another health service and city of origin were the most determinant delay factors in our population's arrival at the hospital.
Conclusion: The present study suggests that, in our population, educational, social and cognitive factors are not directly related to the delay in arriving at the hospital. (Int J Cardiovasc Sci. 2018;31(2)107-113)
Keywords: Myocardial Infarction; Indicators of Morbidity and Mortality; Myocardial Ischemia; Chest Pain; Emergency Medical Services; Risk Factors.