Follow-up of a 1-year media campaign on delay times and ambulance use in suspected acute myocardial infarction

J. Herlitz, M. Blohm, M. Hartford, B. W. Karlson, R. Luepker, S. Holmberg, M. Risenfors, B. Wennerblom

Research output: Contribution to journalArticlepeer-review

79 Scopus citations

Abstract

In order to reduce the delay times from onset of symptoms to arrival in hospital, and increase the use of ambulance in patients with suspected acute myocardial infarction (AMI), a media campaign was initiated in an urban area. An initial 3-week intense campaign was followed by a maintenance phase of 1 year. Delay times and ambulance use during the campaign were compared with the previous 21 months. Among patients admitted to a coronary care unit (CCU) due to suspected AMI, the median delay time was reduced from 3 h to 2 h 40 min and the mean delay time was reduced from 11 h 33 min to 7 h 42 min (P<0·001). Among patients with confirmed AMI the median delay time was reduced from 3 h to 2 h 20 min and the mean delay time from 10 h to 6 h 27 mm (P<0·001). We conclude that a 1-year media campaign can reduce delay times in suspected AMI, and that this effect appears to continue at 1 year, but ambulance use seems to be more difficult to influence.

Original languageEnglish (US)
Pages (from-to)171-177
Number of pages7
JournalEuropean heart journal
Volume13
Issue number2
DOIs
StatePublished - 1992

Bibliographical note

Funding Information:
This study was supported by grants from Swedish National Heart Foundation. Kabi Vitrum, ICI-Pharma AB, AB Hassle, Wilhelm och Martina Lundgren's Foundation, The Goteborg Medical Society, Svenska Hoechst, Edsel Reklam and Referens Telemarketing AB.

Keywords

  • Delay time
  • Media campaign
  • Myocardial infarction

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