To decrease pre-hospital delay in patients with chest pain.
Design-Population based, prospective observational study.
Setting-A province of Switzerland with 380 000 inhabitants.
Subjects-All 1337 patients who presented with chest pain to the emergency department of the Hôpital Cantonal Universitaire of Geneva during the 12 months of a multimedia public campaign, and the 1140 patients who came with similar symptoms during the 12 months before the campaign started.
Main outcome measures-Pre-hospital time delay and number of patients admitted to the hospital for acute myocardial infarction (AMI) and unstable angina.
Mean pre-hospital delay decreased from 7h 50 min before the campaign to 4h 54min during it, and median delay from 180 min to 155 min (P<0.001).
For patients with a final diagnosis of AMI, mean delay decreased from 9 h 10 min to 5 h 10 min and median delay from 195 min to 155 min (P<0.002).
Emergency department visits per week for AMI and unstable angina increased from 11.2 before the campaign to 13.2 during it (P<0.02), with an increase to 27 (P<0.01) during the first week of the campaign ; visits per week for non-cardiac chest pain increased from 7.6 to 8.1 (P=NS) during the campaign, with an increase to 17 (P<0.05) during its first week.
Conclusions-Public campaigns may significantly reduce pre-hospital delay in patients with chest pain. (...)
Mots-clés Pascal : Infarctus, Myocarde, Angine poitrine, Délai hospitalisation, Education sanitaire, Symptomatologie, Promotion santé, Analyse avantage coût, Economie santé, Suisse, Europe, Prévention, Evaluation, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie
Mots-clés Pascal anglais : Infarct, Myocardium, Angina pectoris, Hospitalization delay, Health education, Symptomatology, Health promotion, Cost benefit analysis, Health economy, Switzerland, Europe, Prevention, Evaluation, Human, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0404752
Code Inist : 002B12A03. Création : 10/04/1997.