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Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Revista da Associacao Medica Brasileira (1992), 2014-01, Vol.60 (1), p.63-69 [Peer Reviewed Journal]

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License. ;ISSN: 0104-4230 ;ISSN: 1806-9282 ;EISSN: 1806-9282 ;EISSN: 0104-4230 ;DOI: 10.1590/1806-9282.60.01.014 ;PMID: 24918855

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Title:
Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain
Author: Mussi, Fernanda Carneiro ; Mendes, Andreia Santos ; Queiroz, Tassia Lacerda de ; Costa, Ana Lúcia Siqueira ; Pereira, Álvaro ; Caramelli, Bruno
Subjects: Age Factors ; Aged ; Chest Pain - psychology ; Cross-Sectional Studies ; Decision Making ; Emergency Service, Hospital ; Female ; Humans ; Male ; MEDICINE, GENERAL & INTERNAL ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - psychology ; Patient Acceptance of Health Care ; Patient Education as Topic ; Regression Analysis ; Sex Factors ; Surveys and Questionnaires ; Time Factors ; Transportation of Patients
Is Part Of: Revista da Associacao Medica Brasileira (1992), 2014-01, Vol.60 (1), p.63-69
Description: To estimate the time of decision (TD) to look for medical care and the time of arrival (TA) at the health service for men (M) and women (W) suffering from acute myocardial infarction and to analyze the influence of the interpretation of pain and pain resistance behaviors during these times. This is an exploratory research, performed at the university hospital in Salvador/Bahia. 43 W and 54 M were interviewed. To study the dependence among sociodemographic and gender variables, the Fisher Exact Test was used. To analyze times, a geometric mean (GM) was used. In order to verify the association between the GM of TD and TA and the judgment of pain, and between the GM of TD and TA and the behavior of resistance to pain, as well as to test the time of interaction between the gender variable and other variables of interest, the robust regression model was used. The statistical significance adopted was 5%. The GM of the TD for M was 1.13 h; for W, 0.74 h. The GM of the TA was 1.74 h for M and 1.47 h for W. Those who did not recognize the symptoms of AMI and presented behavior of resistance to pain had higher TD and TA, being the associations significant. Gender did not change the associations of interest. The findings demonstrate the importance of health education aiming at the benefits of early treatment.
Publisher: Brazil: Associação Médica Brasileira
Language: English;Portuguese
Identifier: ISSN: 0104-4230
ISSN: 1806-9282
EISSN: 1806-9282
EISSN: 0104-4230
DOI: 10.1590/1806-9282.60.01.014
PMID: 24918855
Source: SciELO

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Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License. ;ISSN: 0104-4230 ;ISSN: 1806-9282 ;EISSN: 1806-9282 ;EISSN: 0104-4230 ;DOI: 10.1590/1806-9282.60.01.014 ;PMID: 24918855

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