The barriers associated with emergency medical service use for acute coronary syndrome

The awareness and influence of an Australian public mass media campaign

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background Emergency medical services (EMS) transport to hospital is recommended in acute coronary syndrome (ACS) guidelines, but only half of patients with ACS currently use EMS. The recent Australian Warning Signs campaign conducted by the Heart Foundation addressed some of the known barriers against using EMS. Our aim was to examine the influence of awareness of the campaign on these barriers in patients with ACS. Methods Interviews were conducted with patients admitted to an Australian tertiary hospital between July 2013 and April 2014 with a diagnosis of ACS. Patient selection criteria included: aged 35-75 years, competent to provide consent, English speaking, not in residential care and medically stable. Multivariable logistic regression was used to examine factors associated with EMS use. Results Only 54% of the 199 patients with ACS interviewed used EMS for transport to hospital. Overall 64% of patients recalled seeing the campaign advertising, but this was not associated with increased EMS use (52.0%vs56.9%, p=0.49) or in the barriers against using EMS. A large proportion of patients (43%) using other transport thought it would be faster. Factors associated with EMS use for ACS were: age >65 years, ST-elevation myocardial infarction, a sudden onset of pain and experiencing vomiting. Conclusion In medically stable patients with ACS, awareness of the Australian Warning Signs campaign was not associated with increased use of EMS or a change in the barriers for EMS use. Future education strategies could emphasise the clinical role that EMS provide in ACS.

Original languageEnglish
Pages (from-to)466-471
Number of pages6
JournalEmergency Medicine Journal
Volume34
Issue number7
DOIs
Publication statusPublished - 1 Jul 2017

Keywords

  • Acute coronary syndrome
  • ambulance
  • decision making
  • emergency medical services

Cite this

@article{ac9010ce53de468083a5dbffb36f3d59,
title = "The barriers associated with emergency medical service use for acute coronary syndrome: The awareness and influence of an Australian public mass media campaign",
abstract = "Background Emergency medical services (EMS) transport to hospital is recommended in acute coronary syndrome (ACS) guidelines, but only half of patients with ACS currently use EMS. The recent Australian Warning Signs campaign conducted by the Heart Foundation addressed some of the known barriers against using EMS. Our aim was to examine the influence of awareness of the campaign on these barriers in patients with ACS. Methods Interviews were conducted with patients admitted to an Australian tertiary hospital between July 2013 and April 2014 with a diagnosis of ACS. Patient selection criteria included: aged 35-75 years, competent to provide consent, English speaking, not in residential care and medically stable. Multivariable logistic regression was used to examine factors associated with EMS use. Results Only 54{\%} of the 199 patients with ACS interviewed used EMS for transport to hospital. Overall 64{\%} of patients recalled seeing the campaign advertising, but this was not associated with increased EMS use (52.0{\%}vs56.9{\%}, p=0.49) or in the barriers against using EMS. A large proportion of patients (43{\%}) using other transport thought it would be faster. Factors associated with EMS use for ACS were: age >65 years, ST-elevation myocardial infarction, a sudden onset of pain and experiencing vomiting. Conclusion In medically stable patients with ACS, awareness of the Australian Warning Signs campaign was not associated with increased use of EMS or a change in the barriers for EMS use. Future education strategies could emphasise the clinical role that EMS provide in ACS.",
keywords = "Acute coronary syndrome, ambulance, decision making, emergency medical services",
author = "Susie Cartledge and Judith Finn and Lahn Straney and Phillip Ngu and Dion Stub and Harry Patsamanis and James Shaw and Janet Bray",
year = "2017",
month = "7",
day = "1",
doi = "10.1136/emermed-2016-206396",
language = "English",
volume = "34",
pages = "466--471",
journal = "Emergency Medicine Journal",
issn = "1472-0205",
publisher = "BMJ Publishing Group Ltd",
number = "7",

}

TY - JOUR

T1 - The barriers associated with emergency medical service use for acute coronary syndrome

T2 - The awareness and influence of an Australian public mass media campaign

AU - Cartledge, Susie

AU - Finn, Judith

AU - Straney, Lahn

AU - Ngu, Phillip

AU - Stub, Dion

AU - Patsamanis, Harry

AU - Shaw, James

AU - Bray, Janet

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Background Emergency medical services (EMS) transport to hospital is recommended in acute coronary syndrome (ACS) guidelines, but only half of patients with ACS currently use EMS. The recent Australian Warning Signs campaign conducted by the Heart Foundation addressed some of the known barriers against using EMS. Our aim was to examine the influence of awareness of the campaign on these barriers in patients with ACS. Methods Interviews were conducted with patients admitted to an Australian tertiary hospital between July 2013 and April 2014 with a diagnosis of ACS. Patient selection criteria included: aged 35-75 years, competent to provide consent, English speaking, not in residential care and medically stable. Multivariable logistic regression was used to examine factors associated with EMS use. Results Only 54% of the 199 patients with ACS interviewed used EMS for transport to hospital. Overall 64% of patients recalled seeing the campaign advertising, but this was not associated with increased EMS use (52.0%vs56.9%, p=0.49) or in the barriers against using EMS. A large proportion of patients (43%) using other transport thought it would be faster. Factors associated with EMS use for ACS were: age >65 years, ST-elevation myocardial infarction, a sudden onset of pain and experiencing vomiting. Conclusion In medically stable patients with ACS, awareness of the Australian Warning Signs campaign was not associated with increased use of EMS or a change in the barriers for EMS use. Future education strategies could emphasise the clinical role that EMS provide in ACS.

AB - Background Emergency medical services (EMS) transport to hospital is recommended in acute coronary syndrome (ACS) guidelines, but only half of patients with ACS currently use EMS. The recent Australian Warning Signs campaign conducted by the Heart Foundation addressed some of the known barriers against using EMS. Our aim was to examine the influence of awareness of the campaign on these barriers in patients with ACS. Methods Interviews were conducted with patients admitted to an Australian tertiary hospital between July 2013 and April 2014 with a diagnosis of ACS. Patient selection criteria included: aged 35-75 years, competent to provide consent, English speaking, not in residential care and medically stable. Multivariable logistic regression was used to examine factors associated with EMS use. Results Only 54% of the 199 patients with ACS interviewed used EMS for transport to hospital. Overall 64% of patients recalled seeing the campaign advertising, but this was not associated with increased EMS use (52.0%vs56.9%, p=0.49) or in the barriers against using EMS. A large proportion of patients (43%) using other transport thought it would be faster. Factors associated with EMS use for ACS were: age >65 years, ST-elevation myocardial infarction, a sudden onset of pain and experiencing vomiting. Conclusion In medically stable patients with ACS, awareness of the Australian Warning Signs campaign was not associated with increased use of EMS or a change in the barriers for EMS use. Future education strategies could emphasise the clinical role that EMS provide in ACS.

KW - Acute coronary syndrome

KW - ambulance

KW - decision making

KW - emergency medical services

UR - http://www.scopus.com/inward/record.url?scp=85021446662&partnerID=8YFLogxK

U2 - 10.1136/emermed-2016-206396

DO - 10.1136/emermed-2016-206396

M3 - Article

VL - 34

SP - 466

EP - 471

JO - Emergency Medicine Journal

JF - Emergency Medicine Journal

SN - 1472-0205

IS - 7

ER -