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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Barriers associated with emergency medical service activation in patients with ST-segment elevation acute coronary syndromes
Internal and Emergency Medicine, Volume 17, No. 4, Year 2022
Notification
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Description
Many ST-segment elevation acute coronary syndrome (STEACS) patients fail to activate the Emergency Medical System (EMS), with possible dramatic consequences. Prior studies focusing on barriers to EMS activation included patients with any acute coronary syndrome (ACS) without representation of southern European populations. We aimed to investigate the barriers to EMS call for patients diagnosed for STEACS in Italy. A prospective, single-center, survey administered to all patients treated with primary percutaneous coronary intervention for STEACS in a tertiary hospital in northern Italy from 01/06/2018 to 31/05/2020. The questionnaire was filled out by 293 patients. Of these, 191 (65.2%) activated the EMS after symptoms onset. The main reasons for failing to contact EMS were the perception that the symptoms were unrelated to an important health problem (45.5%) and that a private vehicle is faster than EMS to reach the hospital (34.7%). Patients who called a private doctor after symptoms onset did not call EMS more frequently than those who did not and 30% of the patients who did not call the EMS would still act in the same way if a new episode occurred. Previous history of cardiovascular disease was the only predictor of EMS call. Information campaigns are urgently needed to increase EMS activation in case of suspected STEACS and should be primary focused on patients without cardiovascular history, on the misperception that a private vehicle is faster than EMS activation, and on the fact that cardiac arrest occurs early and may be prevented by EMS activation. © 2021, Società Italiana di Medicina Interna (SIMI).
Authors & Co-Authors
Baldi, Enrico
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Camporotondo, Rita
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Gnecchi, Massimiliano
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Guida, Stefania
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Repetto, Alessandra
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Savastano, S.
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Leonardi, Sergio
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Demarchi, Andrea
Unknown Affiliation
Somaschini, Alberto
Unknown Affiliation
Cornara, Stefano
Unknown Affiliation
Fortuni, Federico
Unknown Affiliation
Montalto, Claudio
Unknown Affiliation
Statistics
Citations: 1
Authors: 12
Affiliations: 1
Identifiers
Doi:
10.1007/s11739-021-02894-7
ISSN:
18280447
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Approach
Quantitative