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

Mooney, Mary, McKee, Gabrielle, Fealy, Gerard M., O'Brien, Frances, O'Donnell, Sharon and Moser, Debra (2012) A review of interventions aimed at reducing pre-hospital delay time in acute coronary syndrome: What has worked and why?. European Journal of Cardiovascular Nursing, 11 4: 445-453.

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Author Mooney, Mary
McKee, Gabrielle
Fealy, Gerard M.
O'Brien, Frances
O'Donnell, Sharon
Moser, Debra
Title A review of interventions aimed at reducing pre-hospital delay time in acute coronary syndrome: What has worked and why?
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1474-5151
1873-1953
Publication date 2012-12
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.ejcnurse.2011.04.003
Volume 11
Issue 4
Start page 445
End page 453
Total pages 8
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2013
Language eng
Formatted 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.
Keyword Pre-hospital delay
Acute coronary syndrome
Interventions
Mass media campaigns
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online before print April 4, 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Nursing and Midwifery Publications
 
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Created: Wed, 10 Aug 2011, 12:57:41 EST by Vicki Percival on behalf of School of Nursing and Midwifery