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Predictors of ambulance use in patients with acute myocardial infarction in Australia
journal contribution
posted on 2006-01-01, 00:00 authored by Debra KerrDebra Kerr, D Holden, J Smith, A-M Kelly, S BunkerAIMS: To determine ambulance transport rates and investigate predictors for ambulance use by patients with acute myocardial infarction (AMI) in Australia. METHODS: A prospective, cross-sectional descriptive survey using structured interviews. It included patients who were admitted to two hospitals (Western, Bendigo, Melbourne, Victoria, Australia) with AMI between 1 October 2004 and 31 March 2005, and data were collected by semistructured interview and medical record review. Data were analysed by descriptive statistics, univariate and multivariate analysis using SPSS. RESULTS: 105 patients were interviewed. 48 (46%) participants called for an ambulance as their initial medical contact. Participants who called for an ambulance had a shorter interval between symptom onset and presentation to hospital than those who did not (non-ambulance participants)(median 2.1 v 7.8 h; p = 0.001). Predictors of ambulance transport were older age (p = 0.008), symptom onset on the weekend (p = 0.022), presence of sharp chest pain (p = 0.011), self-administered anginine (p = 0.007), symptom onset at home (p = 0.027) and having a lower income (
History
Journal
Emergency medicine journalVolume
23Issue
12Pagination
948 - 952Publisher
BMJLocation
London, Eng.Publisher DOI
eISSN
1472-0213Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2006, BMJUsage metrics
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AdultAge FactorsAgedAged, 80 and overAmbulancesAustraliaEpidemiologic MethodsFemaleHumansMaleMiddle AgedMyocardial InfarctionNitroglycerinPatient Acceptance of Health CareSelf AdministrationTime FactorsVasodilator AgentsScience & TechnologyLife Sciences & BiomedicineEmergency MedicineHEART-ATTACK SYMPTOMSPATIENTS DELAYUNITED-STATESREASONSIMPACTTIMECARE
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