Comparison of pre-hospital emergency services time intervals in patients with heart attack in Iran

Authors

  • ََAbed Khanizad Department of Health Services Management, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Davoud Khorasani-Zavareh Workplace Health Promotion Research Center (WHPRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Soheila Khodakarim School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Mohammad Palesh Department of Health Services Management, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

DOI:

https://doi.org/10.5249/jivr.v13i1.1614

Keywords:

Prehospital; Time intervals; Emergency Medical Services; Heart attack

Abstract

Background and Goal: After cardiac arrest, the possibility of death or irreversible complications will highly increase in the absence of cardiac resuscitation within 4 to 6 minutes. Accordingly, measuring the pre-hospital service time intervals is important for better management of service delivery. The purpose of this study then was to investigate pre-hospital time intervals for patients with heart attack in Arak city in 2017, based on location and time variables.

Materials and Methods: This is a cross-sectional study of which, registered at the Arak emergency medical services (EMS) in 2017 related to time intervals of heart attack patients. Data were analyzed by SPSS version 13.

Results: In total, 51% of patients were males. Six percent of patients were under 25 and about 49 percent were between 46 and 65 years old. The average of activation, response, crash scene, transportation, recovery and total time intervals were 3:30, 7:56, 15:15, 13:34, 11:07, 12:11, and 41:25, respectively. In the city area, the shortest and longest average of response time interval was in spring and winter, respectively. In out of the city area, the shortest average of response time interval was in summer and the longest in autumn. The shortest and longest average response time interval in the city was in June and March, respectively, and in out of the city area, the shortest average response time interval was in June and the longest in April.

Conclusion: The shorter response time interval and delivery time interval compare to the other studies may indicate improvement in the provision of EMS. Special attention should be paid to the facilities and equipment of vehicles during cold seasons in order to be in the shortest possible time. Also, more training and informing staff about the code of cardiac patients along with general public education can help improve these intervals.

Author Biographies

Davoud Khorasani-Zavareh, Workplace Health Promotion Research Center (WHPRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

1-Department of Health in Emergencies and Disasters,, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2-Workplace Health Promotion Research Center (WHPRC), Shahid Beheshti University of Medical Sciences ,Tehran, Iran

Soheila Khodakarim, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Associate Professor, Department of Epidemiology, School of Allied Medical Sciences, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Published

2021-01-20

How to Cite

Khanizad َ. ., Khorasani-Zavareh, D. ., Khodakarim, S. ., & Palesh, M. (2021). Comparison of pre-hospital emergency services time intervals in patients with heart attack in Iran. Journal of Injury and Violence Research, 13(1), 31–38. https://doi.org/10.5249/jivr.v13i1.1614

Issue

Section

Original Research Article

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