Document Type : Original Article
Authors
- . Jafar Shahbazpour
- . Mohammad Abbasi 1
- . Narges Eskandari 2
- . Mohammad Aghaali 3
- . Reza Norouzadeh 4
1 Department of Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran
2 Department of Midwifery, School of Medicine, Qom University of Medical Sciences, Qom, Iran
3 Department of Family and Community Medicine, School of Medicine, Neuroscience Research Center Qom University of Medical Sciences, Qom, Iran
4 Department of Nursing, School of Nursing and Midwifery, Shahed University, Tehran, Iran
Abstract
BACKGROUND: Delay in seeking medical help in patients with acute myocardial infarction (AMI)
challenges the patients in terms of diagnosis and treatment. This study aimed to evaluate the outcomes
of delay referral (≥12 h) in patients with AMI.
MATERIALS AND METHODS: In this retrospective cohort study, the medical records of 252 patients
with AMI (2017–2019) admitted to Shahid Beheshti Hospital, Qom, Iran, was reviewed. Data
collection tool was a researcher‑made data sheet that included demographic characteristics, times,
hospitalization costs, risk factors, history of heart disease, results of paraclinical tests, clinical
information at the time of admission, and outcomes of delayed referral. Data were analyzed using t‑test,
Chi‑square, Kaplan–Meier estimator, log‑rank test, Cox regression by STATA, and SPSS (version 25).
RESULTS: The levels of troponin, creatine phosphokinase, lactate dehydrogenase were
significantly higher in the delayed referral group (P < 0.05). After treatment, the cardiac ejection
fraction was significantly different in the nondelayed referral (41.56 ± 9.16) and the delayed referral
group (38.39 ± 11.01) (P < 0.001). There was no significant difference in the percentage of hospital
deaths in the groups (P = 0.078).
CONCLUSION: Delayed referral of patients with AMI is associated with decreased physiological
cardiac function, which complicates recovery for these patients.
Keywords
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