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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction
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Hye Mi Ahn, Hyeongsu Kim, Kun Sei Lee, Jung Hyun Lee, Hyo Seon Jeong, Soung Hoon Chang, Kyeong Ryong Lee, Sung Hea Kim, Eun Young Shin
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J Korean Acad Nurs 2016;46(6):804-812. Published online December 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.6.804
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 Abstract
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Purpose
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.
Conclusion
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.
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Citations
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Mira Kim, Kyungshin Lee, Kyunghee Chae, Chai-Young Jung, Sangmin Lee, Hude Quan, Sukil Kim, Ricardas Radisauskas
PLOS One.2025; 20(5): e0323780. CrossRef - Acute myocardial infarction treatment delay in South Asia: a systematic review and meta-analysis
Deepthi Ramamurthy, Meely Panda, Manjula Rangappa, Suthanthira Kannan, Rashmi Kundapur, Swetha Rajeshwari, Padmavathi Subbiah, Pradeep Aggarwal, Sumit Aggarwal
Future Cardiology.2025; : 1. CrossRef - Regional Health Disparities between Mortality Rates in Three Leading Causes of Death : A Comparative Study of Spatial Dependence in Local Death Rate between Cancer, Heart Disease, and Pneumonia
Hee-Jung Jun, SeungYeoup Kang
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Healthcare.2021; 9(3): 360. CrossRef - Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of Korean adults
Kyong Sil Park
Epidemiology and Health.2021; 43: e2021006. CrossRef - The Effect of Residence in Underserved Emergency Medical Services Areas on Awareness of Myocardial Infarction Symptoms in Korea
Mirae Jo, Heeyoung Oh, Suk-Yong Jang
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Nurses’ Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest
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Eun Jung Kim, Kyeong Ryong Lee, Myung Hyun Lee, Jiyoung Kim
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J Korean Acad Nurs 2012;42(3):361-368. Published online June 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.3.361
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Abstract
PDF
- Abstract
Purpose
The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital.
Methods
A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members.
Results
Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of 108 ± 75 seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty- seven percent of the teams defibrillated at 224± 67 seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively.
Conclusion
The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.
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Citations
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Hye Ji Park, Daun Choi, Hoyoen Shim, Choung Ah. Lee
Nurse Education Today.2025; 146: 106545. CrossRef - Nurses’ Experiences of Cardiopulmonary Resuscitation: An Integrative Review of Qualitative Studies
Myunghwa Jeon, Hyeonji Kang, Sanghee Kim
Journal of Korean Academy of Nursing Administration.2025; 31(1): 110. CrossRef - Is There Any Difference in the Quality of CPR Depending on the Physical Fitness of Firefighters?
HyeonJi Lee, JiWon Ahn, Youngsoon Choi
International Journal of Environmental Research and Public Health.2023; 20(4): 2917. CrossRef - Analysis of cardiopulmonary resuscitation outcomes among critically ill patients at a university hospital, Kafr-El-Sheikh Governorate
Hamada A.E.M. Khedr, Warda Y.M. Morsy, Fatma S.A.A. Elreheim, Ahmed M. Zahra
Egyptian Nursing Journal.2023; 20(3): 376. CrossRef - Analysis of Nursing Students’ CPR Learning Experience Using Web-based Virtual Simulation: Focusing on Reflection Journals Based on Feedback Log
Myoung Sun Jang
Journal of Korea Society for Simulation in Nursing.2023; 11(2): 121. CrossRef - The Effect of Simulation- Based Korean Advanced Life Support on Emergency Management Knowledge, Clinical Performance Ability, Performer Confidence and Learning Ethnicity of New Nurses
Eunmi Nam, Sangsuk Kim, Youngsil Choi
Journal of Korea Society for Simulation in Nursing.2023; 11(2): 31. CrossRef - Are You Prepared to Save a Life? Nursing Students’ Experience in Advanced Life Support Practice
Lorena Gutiérrez-Puertas, Verónica V. Márquez-Hernández, Vanesa Gutiérrez-Puertas, Mª Carmen Rodríguez-García, Alba García-Viola, Gabriel Aguilera-Manrique
International Journal of Environmental Research and Public Health.2021; 18(3): 1273. CrossRef - Factors Affecting Attitudes Toward Defibrillator Use Among Clinical Nurses in South Korea: A Cross-Sectional Study
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Sohyune R. Sok, Jung A. Kim, Yoonshin Lee, Youngmi Cho
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Sung Hwan Kim, Barry Issenberg, Young Sook Roh
CIN: Computers, Informatics, Nursing.2020; 38(5): 240. CrossRef - The Effect of Team Debriefing-based Emergency Simulation Education
Hwa Yeong Choi, Yeoungsuk Song
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Nursing Research and Practice.2020; 2020: 1. CrossRef - Importance-Performance Analysis (IPA) to Improve Emergency Care for Novice Nurses
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Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 155. CrossRef - Competence‐based training needs assessment for basic life support instructors
Eun Jin Kim, Young Sook Roh
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Yunmi Kim, Jiyun Kim, Soon Ae Shin
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Trond R Pettersen, Jan Mårtensson, Åsa Axelsson, Marianne Jørgensen, Anna Strömberg, David R Thompson, Tone M Norekvål
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JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2017; 29(1): 137. CrossRef - Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education
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Korean Journal of Adult Nursing.2017; 29(6): 667. CrossRef - Effects of Blended Cardiopulmonary Resuscitation and Defibrillation E-learning on Nursing Students’ Self-efficacy, Problem Solving, and Psychomotor Skills
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