title: [Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction].
abstract: OBJECTIVE
  This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI).
  
  
  METHODS
  Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour.
  
  
  RESULTS
  After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation.
  
  
  CONCLUSIONS
  Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center driectly should be implemented for patients and/or caregivers.
authors.affiliation: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Hye Mi
authors.initials: HM
authors.lastname: Ahn
authors.affiliation: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea. mubul@kku.ac.kr.
authors.forename: Hyeongsu
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Kun Sei
authors.initials: KS
authors.lastname: Lee
authors.affiliation: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Jung Hyun
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Hyo Seon
authors.initials: HS
authors.lastname: Jeong
authors.affiliation: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Soung Hoon
authors.initials: SH
authors.lastname: Chang
authors.affiliation: Department of Emergency Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Kyeong Ryong
authors.initials: KR
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, School of Medicine, Konkuk University, Seoul, Korea.
authors.forename: Sung Hea
authors.initials: SH
authors.lastname: Kim
authors.affiliation: Department of Public Health Administration, Hanyang Women's University, Seoul, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Shin
mesh_terms: D000208:Acute Disease; D000367:Age Factors; D000368:Aged; D004632:Emergency Medical Services; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000401:mortality; D012111:Residence Characteristics; D012737:Sex Factors; D013997:Time Factors; D014186:Transportation
keywords: Emergency medical services; Myocardial infarction; Symptoms