Exploring the delay in the informed consent procedures of patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention: Is it worth the wait? Article Swipe
Mailikezhati Maimaitiming
,
Junxiong Ma
,
Xuejie Dong
,
Shuduo Zhou
,
Na Li
,
Zheng Zhang
,
Shijuan Lu
,
Lianglong Chen
,
Likun Ma
,
Bo Yu
,
Yi‐Tong Ma
,
Xingsheng Zhao
,
Zhaofen Zheng
,
Hong Shi
,
Zhi‐Jie Zheng
,
Yinzi Jin
,
Yong Huo
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-2295981/v1
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-2295981/v1
Objective: To investigated the factors associated with informed consent delay in patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI) and the association between the delay and door-to-balloon time. Methods: We conducted a nationally representative retrospective cohort study using patient data reported by hospital-based chest pain centers from 1 January 2016 to 31 December 2020. Results: In total, 257,510 patients were enrolled in the analysis. Mean informed consent delay time was 22.4 minutes, accounting for 39.3% in door-to-balloon time. Older age (≥65 years) was significantly correlated with informed consent delay time (RR: 1.034, p=0.001). Compared with ethnic Han patients, the minority (RR: 1.146, p<0.001) had more likelihood to extend consent giving; compared with patients who were single, longer informed consent time was found in married patients (RR: 1.054, p=0.006). Patients with intermittent chest pain (RR: 1.034, p=0.011), and chest pain relief (RR: 1.085, p=0.005)were more likely to delay informed consent. As for transfer modes, EMS (RR: 1.063, p<0.001), transfer-in (RR: 1.820, p<0.001), and in-hospital onset (RR: 1.099, p=0.002) all had positive correlations with informed consent delay time compared to walk-in. Informed consent delay was significantly associated with prolonged door-to-balloon time (OR: 1.002, p<0.001). Conclusion: Informed consent delay provokes prolongation of emergency treatment delay, which potentially leads to poor outcome of STEMI patients. It is essential to shorten the delay time by identifying and intervening modifiable factors that are associated with shortening the informed consent procedure in China and other countries.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-2295981/v1
- https://www.researchsquare.com/article/rs-2295981/latest.pdf
- OA Status
- green
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4310270008
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4310270008Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-2295981/v1Digital Object Identifier
- Title
-
Exploring the delay in the informed consent procedures of patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention: Is it worth the wait?Work title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-11-29Full publication date if available
- Authors
-
Mailikezhati Maimaitiming, Junxiong Ma, Xuejie Dong, Shuduo Zhou, Na Li, Zheng Zhang, Shijuan Lu, Lianglong Chen, Likun Ma, Bo Yu, Yi‐Tong Ma, Xingsheng Zhao, Zhaofen Zheng, Hong Shi, Zhi‐Jie Zheng, Yinzi Jin, Yong HuoList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-2295981/v1Publisher landing page
- PDF URL
-
https://www.researchsquare.com/article/rs-2295981/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.researchsquare.com/article/rs-2295981/latest.pdfDirect OA link when available
- Concepts
-
Medicine, Informed consent, Percutaneous coronary intervention, Myocardial infarction, Conventional PCI, Cohort, Chest pain, Internal medicine, Emergency medicine, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
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34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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