Work

Factors Associated with Delayed Onset to Services among Patients with Acute Coronary Syndrome in Yala Province, Southern Thailand

Year: 2025

Type: article

Abstract: Background: Delayed access to services for acute coronary syndrome (ACS) can worsen outcomes. This hospital-based, cross-sectional study aimed to identify factors associated with delayed access to ACS care in Yala Province, Southern Thailand. Methods: The study analyzed ACS patients from community hospitals in Yala Province, enrolled between October 1, 2018, and September 30, 2021, using data from the Yala ACS Registry and HosXp Database. Among 668 patients, 289 experienced delayed access to services, while 379 did not. Descriptive statistics and multiple logistic regression were applied for analysis. Results: The incidence of delayed access to services was 43.26 % (95 %CI: 39.47-47.12). The factors significantlyassociated with delayed access included: education level (graduated from secondary school, AOR = 0.54, 95 %CI:0.36-0.84; p-value = 0.021), having one underlying disease (AOR = 0.54, 95 %CI: 0.34-0.84; p-value = 0.027), moderate to heavy activity intensity (AOR = 0.60, 95 %CI: 0.38-0.97; p-value = 0.036), having atypical symptoms of ACS (AOR = 2.67, 95 %CI: 1.81-3.94; p-value <0.001), and access to hospitals with 30 or 60 beds (AOR = 1.83, 95 %CI: 1.14-2.95; AOR = 3.02, 95 % CI: 2.00-4.60; p-value <0.001). Conclusion: Education level, number of underlying diseases, activity intensity, and hospital size were linked to delayed access to ACS care. Medical professionals should address these factors to enhance awareness of ACS symptoms, encourage early hospital visits, and reduce the risks of cardiac dysfunction, disability, and death. Keywords: Acute coronary syndrome, Delayed onset to services, Thailand The incidence of delayed access to services was 43.26 % (95 %CI: 39.47-47.12). The factors significantly associated with delayed access included: education level (graduated from secondary school, AOR = 0.54, 95 %CI: 0.36-0.84; p-value = 0.021), having one underlying disease (AOR = 0.54, 95 %CI: 0.34-0.84; p-value = 0.027), moderate to heavy activity intensity (AOR = 0.60, 95 %CI: 0.38-0.97; p-value = 0.036), having atypical symptoms of ACS (AOR = 2.67, 95 %CI: 1.81-3.94; p-value <0.001), and access to hospitals with 30 or 60 beds (AOR = 1.83, 95 %CI: 1.14-2.95; AOR = 3.02, 95 % CI: 2.00-4.60; p-value <0.001).

Source: Journal of Health Research

DOI: 10.56808/2586-940x.1124

Authors: Suwaibah Arboo, Bhunyabhadh Chaimay, Somkiattiyos Woradet

Institution: Thaksin University

Language: English

Topic: Acute Myocardial Infarction Research

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000