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안혜미 ( Ahn Hye-Mi ) - 건국대학교 의학전문대학원 예방의학교실
김형수 ( Kim Hyeong-Su ) - 건국대학교 의학전문대학원 예방의학교실
이건세 ( Lee Kun-Sei ) - 건국대학교 의학전문대학원 예방의학교실
이정현 ( Lee Jung-Hyun ) - 건국대학교 의학전문대학원 예방의학교실
정효선 ( Jeong Hyo-Seon ) - 건국대학교 의학전문대학원 예방의학교실
장성훈 ( Chang Soung-Hoon ) - 건국대학교 의학전문대학원 예방의학교실
이경룡 ( Lee Kyeong-Ryong ) - 건국대학교 의학전문대학원 응급의학교실
김성해 ( Kim Sung-Hea ) - 건국대학교 의학전문대학원 내과학교실
신은영 ( Shin Eun-Young ) - 한양여자대학교 보건행정과
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Abstract
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Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI).
Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour.
Results: After onset of acute myocardial infarction, arrival rate to emergencymedical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation.
Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center driectly should be implemented for patients and/or caregivers.
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KeyWords
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급성심근경색, 증상, 응급의료서비스
Myocardial infarction, Symptoms, Emergency medical services
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원문 및 링크아웃 정보
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등재저널 정보
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