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Eur J Cardiovasc Nurs. 2012 Dec;11(4):445-53. doi: 10.1016/j.ejcnurse.2011.04.003. Epub 2012 Apr 4.

A review of interventions aimed at reducing pre-hospital delay time in acute coronary syndrome: what has worked and why?

Author information

1
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland. mooneym4@tcd.ie

Abstract

BACKGROUND:

Delay in seeking treatment for acute coronary syndrome (ACS) symptoms is a well recognised problem. While the factors that influence pre-hospital delay have been well researched, to date this information alone has been insufficient in altering delay behaviour.

AIM:

This paper reports the results of a critical appraisal of previously tested interventions designed to reduce pre-hospital delay in seeking treatment for ACS symptoms.

METHODS:

The search was confined to interventions published between 1986 and the present that were written in English and aimed at reducing pre-hospital delay time. The following databases were searched using keywords: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Pubmed, Academic Search Premier, Ovid, Cochrane, British Nursing Index, and Google Scholar. A total of eight intervention studies were identified as relevant. This review was developed following a systematic comparative analysis of those eight studies.

RESULTS:

Seven of the eight interventions were based on mass media campaigns. One campaign was targeted at individuals. All were aimed at raising ACS symptom awareness and/or increasing prompt action in the presence of symptoms. Only two studies reported a statistically significant reduction in pre-hospital delay time.

CONCLUSION:

In response to concerns about prolonged pre-hospital delay time in ACS, interventions targeting the problem have been developed. The literature indicates that responses to symptoms depend on a variety of factors. In light of this, interventions should include the scope of factors that can potentially influence pre-hospital delay time and ideally target those who are at greatest risk of an ACS event.

PMID:
21565559
DOI:
10.1016/j.ejcnurse.2011.04.003
[Indexed for MEDLINE]

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