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. doi:10.1016/j.ejcnurse.2011.04.003

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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
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
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.

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.

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.


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.

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
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, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 10 Aug 2011, 12:57:41 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work