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      Prehospital Delay in Individuals with Acute Coronary Disease: Concordance of Medical Records and Follow-Up Phone Interviews

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          Abstract

          Patient-associated delay in seeking medical care in persons with acute coronary disease is receiving increasing importance given the time-dependent benefits associated with myocardial reperfusion therapies. We examined the extent of concordance between self-reported information about prehospital delay provided by patients to hospital staff at the time of hospitalization for coronary disease compared with information obtained from a telephone interview approximately 2 months following hospital discharge. The sample included 316 patients with acute myocardial infarction or unstable angina at 43 hospitals who had delay time information available from both data sources. The extent of agreement between the medical record and telephone accounts of delay was 47% in the total study sample, 53% in patients with acute myocardial infarction, and 40% in patients with unstable angina. These results suggest that a telephone interview carried out several months following hospitalization for acute coronary disease may not provide sufficiently reliable information about prehospital delay.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          2002
          June 2002
          12 June 2002
          : 97
          : 3
          : 159-165
          Affiliations
          aDepartment of Medicine, University of Massachusetts Medical School, Worcester, Mass., bNew England Research Institutes, Watertown, Mass., cSchool of Medicine, University of Alabama at Birmingham, Birmingham, Ala., dDepartment of Emergency Medicine, Oregon Health Sciences University, Portland, Oreg., and eSchool of Public Health, Division of Epidemiology, University of Minnesota, Minneapolis, Minn., USA
          Article
          63333 Cardiology 2002;97:159–165
          10.1159/000063333
          12077569
          cbb10c65-4fd6-4d8a-9ef3-fb79cd7236f6
          © 2002 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          Page count
          Figures: 3, Tables: 3, References: 12, Pages: 7
          Categories
          Coronary Care

          General medicine,Neurology,Cardiovascular Medicine,Internal medicine,Nephrology
          Acute myocardial infarction,Delay times,Concordance

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