PDF(Pubmed)
Abstract：
UNASSIGNED: Early reperfusion in patients with ST-segment elevation myocardial infarction (STEMI) has been associated with preservation of left ventricular function and decrease in mortality. Symptom onset to first medical contact (FMC) time consumes the majority of total ischemic time, and remains one of the main reasons that patients do not receive timely care. With FMC to reperfusion time being effectively reduced in many parts of the world, the focus is now shifting to reducing symptom onset to FMC times.
UNASSIGNED: This mixed-methods observational study was designed to elucidate factors affecting symptom onset to FMC time at a regional cardiac center in a low-middle income country (LMIC) and a high-income country (HIC). A review of the Aswan Heart Center and Hamilton General Hospital STEMI registry in Egypt and Canada was conducted, and retrospective semi-structured questionnaires carried out for a convenience sample of 158 patients.
UNASSIGNED: Gender, symptom type and severity were none-modifiable factors found between early and late presenters. Modifiable factors found were actions of bystanders, actions of patients, transportation method and time. Emotional factors also showed differences between the two groups.
UNASSIGNED: While some concepts are generalizable, contextual differences in demographics, risk factors, access and knowledge are identified. These factors can be used to inform tailored knowledge translation strategies to help reduce symptom onset to FMC in both LMIC and HIC.
UNASSIGNED: This mixed-methods observational study was designed to elucidate factors affecting symptom onset to FMC time at a regional cardiac center in a low-middle income country (LMIC) and a high-income country (HIC). A review of the Aswan Heart Center and Hamilton General Hospital STEMI registry in Egypt and Canada was conducted, and retrospective semi-structured questionnaires carried out for a convenience sample of 158 patients.
UNASSIGNED: Gender, symptom type and severity were none-modifiable factors found between early and late presenters. Modifiable factors found were actions of bystanders, actions of patients, transportation method and time. Emotional factors also showed differences between the two groups.
UNASSIGNED: While some concepts are generalizable, contextual differences in demographics, risk factors, access and knowledge are identified. These factors can be used to inform tailored knowledge translation strategies to help reduce symptom onset to FMC in both LMIC and HIC.
摘要：
未经证实：ST段抬高型心肌梗死（STEMI）患者的早期再灌注与左心室功能的保留和死亡率的降低有关。症状发作到首次医疗接触（FMC）的时间消耗了总缺血时间的大部分，并且仍然是患者没有得到及时护理的主要原因之一。随着FMC的再灌注时间在世界许多地方被有效地减少，现在的重点转移到减少症状发作至FMC时间。
UNASSIGNED：这项混合方法观察性研究旨在阐明影响中低收入国家（LMIC）和高收入国家（HIC）区域心脏中心症状发作至FMC时间的因素。对埃及和加拿大的阿斯旺心脏中心和汉密尔顿总医院STEMI注册进行了审查，并对158名患者进行了回顾性半结构化问卷。
未经评估：性别，症状类型和严重程度是早期和晚期患者之间不可改变的因素.发现的可改变因素是旁观者的行为，患者的行为，运输方式和时间。两组之间的情绪因素也存在差异。
未经评估：虽然有些概念是可以推广的，人口统计中的上下文差异，危险因素，确定访问和知识。这些因素可用于提供量身定制的知识翻译策略，以帮助减少LMIC和HIC中FMC的症状发作。
UNASSIGNED：这项混合方法观察性研究旨在阐明影响中低收入国家（LMIC）和高收入国家（HIC）区域心脏中心症状发作至FMC时间的因素。对埃及和加拿大的阿斯旺心脏中心和汉密尔顿总医院STEMI注册进行了审查，并对158名患者进行了回顾性半结构化问卷。
未经评估：性别，症状类型和严重程度是早期和晚期患者之间不可改变的因素.发现的可改变因素是旁观者的行为，患者的行为，运输方式和时间。两组之间的情绪因素也存在差异。
未经评估：虽然有些概念是可以推广的，人口统计中的上下文差异，危险因素，确定访问和知识。这些因素可用于提供量身定制的知识翻译策略，以帮助减少LMIC和HIC中FMC的症状发作。
