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Pre-hospital delay in patients with first time myocardial infarction: an observational study in a northern Swedish population

Overview of attention for article published in BMC Cardiovascular Disorders, May 2016
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (62nd percentile)

Mentioned by

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3 tweeters

Citations

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28 Dimensions

Readers on

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101 Mendeley
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Title
Pre-hospital delay in patients with first time myocardial infarction: an observational study in a northern Swedish population
Published in
BMC Cardiovascular Disorders, May 2016
DOI 10.1186/s12872-016-0271-x
Pubmed ID
Authors

Gunnar Nilsson, Thomas Mooe, Lars Söderström, Eva Samuelsson

Abstract

In myocardial infarction (MI), pre-hospital delay is associated with increased mortality and decreased possibility of revascularisation. We assessed pre-hospital delay in patients with first time MI in a northern Swedish population and identified determinants of a pre-hospital delay ≥ 2 h. A total of 89 women (mean age 72.6 years) and 176 men (mean age 65.8 years) from a secondary prevention study were enrolled in an observational study after first time MI between November 2009 and March 2012. Total pre-hospital delay was defined as the time from the onset of symptoms suggestive of MI to admission to the hospital. Decision time was defined as the time from the onset of symptoms until the call to Emergency Medical Services (EMS). The time of symptom onset was assessed during the episode of care, and the time of call to EMS and admission to the hospital was based on recorded data. The first medical contact was determined from a mailed questionnaire. Determinants associated with pre-hospital delay ≥ 2 h were identified by multivariable logistic regression. The median total pre-hospital delay was 5.1 h (IQR 18.1), decision time 3.1 h (IQR 10.4), and transport time 1.2 h (IQR 1.0). The first medical contact was to primary care in 52.3 % of cases (22.3 % as a visit to a general practitioner and 30 % by telephone counselling), 37.3 % called the EMS, and 10.4 % self-referred to the hospital. Determinants of a pre-hospital delay ≥ 2 h were a visit to a general practitioner (OR 10.77, 95 % CI 2.39-48.59), call to primary care telephone counselling (OR 3.82, 95 % CI 1.68-8.68), chest pain as the predominant presenting symptom (OR 0.24, 95 % CI 0.08-0.77), and distance from the hospital (OR 1.03, 95 % CI 1.02-1.04). Among patients with primary care as the first medical contact, 67.0 % had a decision time ≥ 2 h, compared to 44.7 % of patients who called EMS or self-referred (p = 0.002). Pre-hospital delay in patients with first time MI is prolonged considerably, particularly when primary care is the first medical contact. Actions to shorten decision time and increase the use of EMS are still necessary.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 101 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Switzerland 1 <1%
Unknown 99 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 18%
Student > Bachelor 14 14%
Researcher 12 12%
Student > Doctoral Student 7 7%
Student > Postgraduate 6 6%
Other 20 20%
Unknown 24 24%
Readers by discipline Count As %
Medicine and Dentistry 42 42%
Nursing and Health Professions 22 22%
Pharmacology, Toxicology and Pharmaceutical Science 3 3%
Social Sciences 3 3%
Engineering 2 2%
Other 3 3%
Unknown 26 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 September 2019.
All research outputs
#4,969,226
of 15,771,386 outputs
Outputs from BMC Cardiovascular Disorders
#250
of 1,037 outputs
Outputs of similar age
#90,825
of 267,583 outputs
Outputs of similar age from BMC Cardiovascular Disorders
#1
of 1 outputs
Altmetric has tracked 15,771,386 research outputs across all sources so far. This one is in the 48th percentile – i.e., 48% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,037 research outputs from this source. They receive a mean Attention Score of 3.6. This one has gotten more attention than average, scoring higher than 73% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,583 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them