Symptoms perception and pre-hospital care seeking behaviour and its influence towards outcome of patients with acute coronary syndrome in emergency medicine department, Hospital Universiti Sains Malaysia
Good coronary care begins from the patient's home including early decision to seek medical attention. As such, it is recommended that the patients activate ambulances, rather than to use their own transportations to reach the hospitals. It is not known whether our Malaysian patients prefer to...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2013
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| Subjects: | |
| Online Access: | http://eprints.usm.my/60855/1/DR%20WAN%20MASLIZA%20BINTI%20WAN%20MOHD%20ANNUAR%20-%20e.pdf http://eprints.usm.my/60855/ |
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| Summary: | Good coronary care begins from the patient's home including early decision to seek medical attention. As such, it is recommended that the patients activate ambulances, rather than to use their own transportations to reach the hospitals. It is not known
whether our Malaysian patients prefer to use private transportations or ambulances when
they develop chest pain. This study aims to explore this research question.
To explore 1) the patients’ interpretation regarding the symptoms they are
experiencing -heart attack or other condition. 2) To determine the time delay between onset of symptoms to the activation of
EMS or using own transportation to Emergency Department Elospital Universiti
Sains Malaysia (HUSM).
3) To determine the patients’ preference of mode of transportation and the reason
for it This is a cross-sectional study using open labeled structured questionnaire on patients diagnosed with acute coronary syndrome (ACS) in the emergency department of
Hospital Universiti Sains Malaysia from June 2012 to November 2012. Out of the 110 patients surveyed, 105 (95.5%) patients chose to use own
transportation when they developed symptoms suggestive of ACS. Only 3 patients
(2.7%) came to the emergency department within 1 hour of onset, and all these 3 patients
chose to use ambulances as their modes of transportation. None of the patients who
chose own transportation came within the first hour of symptoms onset. This is shown to
0.001). The be statistically significant (p level of education as well as past history of
ischemic heart disease did not significantly influence the patients’ choice of
transportation. Overall, the awareness of symptoms of acute coronary syndrome is still
poor. The extremely low percentage of patients choosing ambulances shows that
there is a lot more educational work to be done to educate our community on acute
coronary syndrome. |
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