Features of population’s addressing for the emergency care because of the «heart attack» and its promptitude

Aim. To study the nosological structure of ambulance calls because of the «heart attack» and factors influencing the care promptitude. Methods. Statistical data of ambulance calls because of the «heart attack» and factors influencing the care promptitude were analyzed. Ambulance charts of 4074 patients aged 18 and older who called an ambulance because of the «heart attack» in January 2011 in Kazan were analyzed. Results. Females were found to call the ambulance because of the «heart attack» more often (60.9%) compared to males (39.1%). The share of the cardiovascular emergencies was 47.0% in females, 40.1% in males. Among the cardiovascular diseases the most prevalent were angina in males (37.2%), hypertensive emergency - in females (44.2%). The waiting time for the ambulance to come in patients who called the ambulance because of the «heart attack» did not depend on the diagnosis, but was related to the time of the day. Conclusion. The revealed features give a basis for further adjustment of the set of questions the patient is asked when he/she is calling an ambulance, and its introduction by the ambulance coordinators. It will add to the proper call classification and improve the care promptitude in cases of cardiovascular emergencies.

ambulance, healthcare management, medical aid appealability, heart attack, myocardial infarction, angina, care promptitude