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    Prehospital delay in patients with acute coronary heart disease: concordance between patient interviews and medical records

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    Authors
    Goldberg, Robert J.
    McGovern, Paul G.
    Guggina, Thomas
    Savageau, Judith A.
    Rosamond, Wayne D.
    Luepker, Russell V.
    UMass Chan Affiliations
    Department of Pediatrics
    Department of Medicine, Division of Cardiovascular Medicine
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    1998-02-01
    Keywords
    Coronary Disease
    Female
    Humans
    Interviews as Topic
    Male
    Medical History Taking
    Medical Records
    Middle Aged
    Minnesota
    Myocardial Reperfusion
    *Patient Acceptance of Health Care
    Registries
    Thrombolytic Therapy
    Time Factors
    Community Health and Preventive Medicine
    Preventive Medicine
    Primary Care
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    Link to Full Text
    http://bs7xv3ec2w.search.serialssolutions.com/?sid=Entrez:PubMed&id=pmid:9489979
    Abstract
    Patient-associated delay in seeking medical care in the setting of acute coronary disease is assuming increasing importance as the benefits of reperfusion therapies become more time dependent. Given the importance of accurate information concerning prehospital delay, we examined the extent of concordance between information reported by patients in structured interviews by hospital staff nurses compared with information about time of acute symptom onset as recorded in the medical record. Data were obtained from 1137 patients with a discharge diagnosis of coronary heart disease who were admitted to six coronary care units in the Minneapolis-St. Paul metropolitan area. The average and median durations of prehospital delay were similar as reported in the structured personal interviews and through the review of medical records for the respective disease groups. The extent of individual level of agreement of delay time was considerably poorer, however. The Pearson correlation coefficients on the logarithmically transformed data were 0.48, 0.50, and 0.59 for persons with acute myocardial infarction, unstable angina, and chronic coronary disease, respectively, in comparing data noted in the medical record with that obtained in the personal interviews concerning prehospital delay time. These results suggest good agreement between personal interviews and medical record accounts in characterizing the average length of prehospital delay at the aggregate level but considerably less agreement at the individual patient level.
    Source
    Am Heart J. 1998 Feb;135(2 Pt 1):293-9.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30989
    PubMed ID
    9489979
    Related Resources
    Link to article in PubMed
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    UMass Chan Faculty and Researcher Publications

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