Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
Copyright 2000 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2000
To the Editor: It should come as no surprise
that the community educational intervention described by Dr Luepker and colleagues1 had no impact on the average time interval from
onset of symptoms suggestive of myocardial infarction to arrival at the emergency
department. There have been other studies with similar interventions and similar
results.2,3 One set of studies,
conducted in Sweden, did show a statistically significant improvement in delay
time.4 This difference from the US experience
may have been due to the difference in health care–related financial
barriers between the United States and Sweden. Even the Swedish study, however,
showed no improvement in mortality rates.
Nitzkin JL. Barriers to Patients Seeking Emergency Care for Acute Coronary Heart Disease. JAMA. 2000;284(17):2184. doi:10.1001/jama.284.17.2184