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  1. Impact of a public campaign on pre-hospital delay in patients reporting chest pain.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0404752

    Code Inist : 002B12A03. Création : 10/04/1997.