Copyright © 1992 by the European Society of Cardiology.
© 1992 The European Society of Cardiology
Follow-up of a 1-year media campaign on delay times and ambulance use in suspected acute myocardial infarction
Division of Cardiology, Department of Medicine I, Sahlgrenska Hospital, and the Computing Center of Göteborg, University of Göteborg Göteborg, Sweden
Received 2 November 1990; revised 2 January 1991; .
Correspondence Dr Johan Herlitz, Division of Cardiology. Department of Medicine I, Sahlgrenska Hospital, S-41345 Göteborg, Sweden
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 min (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 djfficult to influence.
Key Words: Delay time • media campaign • myocardial infarction
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