Factors associated with prehospital delay in acute myocardial infarction in Maldives
Dublin Core
Title
Factors associated with prehospital delay in acute myocardial infarction in Maldives
Subject
Prehospital delay, Myocardial infarction, Emergency medicine, Maldives
Description
Background Acute myocardial infarction (AMI) is the top cause of death in Maldives. Our study aims to determine
the prehospital delay and its associated factors in AMI patients in Maldives.
Methods A cross-sectional study was conducted with 127 patients, divided into early (≤6 h) and delayed (>6 h)
presenters to the hospital. The data collection for the study was carried out by interviewing AMI patients, focusing on
their socio-demographic characteristics, coronary artery disease risk factors, clinical symptoms, situational factors, and
behavioral and cognitive responses to symptoms.
Results The median onset-to-door time was 230 (IQR 420) minutes. The mean age of AMI patients was 50.9
(SD±12.9) years old, and 39.4% of them had delayed presentation to the hospital. Smokers (adj OR=0.3; 95% CI: 0.1,
0.9; P=0.047) and those with previous episodes of chest pain or AMI (adj OR=0.2; 95% CI: 0.03, 0.91; P=0.038) were
significant factors for early presentation to the hospital, while denial of symptoms (adj OR=29.3; 95% CI: 1.6, 547.2;
P=0.024) and lack of knowledge (adj OR=7.2; 95% CI: 1.77, 29.43; P=0.006) led to a delayed decision to seek treat-
ment. Situational factors such as onset at the workplace (adj OR=5.8; 95% CI: 1.24, 26.83; P=0.025) had lower odds of
delay, whereas referral cases (adj OR=7.7; 95% CI: 1.9, 30.94; P=0.004) and use of sea ambulance (adj OR=11.1; 95%
CI: 2.8, 43.8; P=0.001) were prone to delay in presentation to the hospital.
Conclusion Sea ambulance, referral cases, lack of knowledge, and denial of symptoms are significant factors associ-
ated with prehospital delay among patients with AMI. Public awareness about the benefits of early presentation and
improvement of the means of transportation between islands is suggested to improve emergency cardiac care in the
country.
the prehospital delay and its associated factors in AMI patients in Maldives.
Methods A cross-sectional study was conducted with 127 patients, divided into early (≤6 h) and delayed (>6 h)
presenters to the hospital. The data collection for the study was carried out by interviewing AMI patients, focusing on
their socio-demographic characteristics, coronary artery disease risk factors, clinical symptoms, situational factors, and
behavioral and cognitive responses to symptoms.
Results The median onset-to-door time was 230 (IQR 420) minutes. The mean age of AMI patients was 50.9
(SD±12.9) years old, and 39.4% of them had delayed presentation to the hospital. Smokers (adj OR=0.3; 95% CI: 0.1,
0.9; P=0.047) and those with previous episodes of chest pain or AMI (adj OR=0.2; 95% CI: 0.03, 0.91; P=0.038) were
significant factors for early presentation to the hospital, while denial of symptoms (adj OR=29.3; 95% CI: 1.6, 547.2;
P=0.024) and lack of knowledge (adj OR=7.2; 95% CI: 1.77, 29.43; P=0.006) led to a delayed decision to seek treat-
ment. Situational factors such as onset at the workplace (adj OR=5.8; 95% CI: 1.24, 26.83; P=0.025) had lower odds of
delay, whereas referral cases (adj OR=7.7; 95% CI: 1.9, 30.94; P=0.004) and use of sea ambulance (adj OR=11.1; 95%
CI: 2.8, 43.8; P=0.001) were prone to delay in presentation to the hospital.
Conclusion Sea ambulance, referral cases, lack of knowledge, and denial of symptoms are significant factors associ-
ated with prehospital delay among patients with AMI. Public awareness about the benefits of early presentation and
improvement of the means of transportation between islands is suggested to improve emergency cardiac care in the
country.
Creator
Madheeh Mohamed Hussain1,2, Kamarul Aryffin Baharuddin1,3*, Mohd Hashairi Fauzi1,3,
Mimi Azliha Abu Bakar1,3, Ahmed Ziyan2
, Aminath Zeyba Ahmed2 and Mohamed Sunil4
Mimi Azliha Abu Bakar1,3, Ahmed Ziyan2
, Aminath Zeyba Ahmed2 and Mohamed Sunil4
Source
https://doi.org/10.1186/s12245-023-00503-2
Date
2023
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Madheeh Mohamed Hussain1,2, Kamarul Aryffin Baharuddin1,3*, Mohd Hashairi Fauzi1,3,
Mimi Azliha Abu Bakar1,3, Ahmed Ziyan2
, Aminath Zeyba Ahmed2 and Mohamed Sunil4, “Factors associated with prehospital delay in acute myocardial infarction in Maldives,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12136.