Table 2. Clinical Presentation.
Secondary hospitals n = 43 (%) | TBH n = 33 (%) | p-value | |
Chest pain | |||
First episode | 25 (58) | 19 (58) | 0.9606 |
Time to present (hours) (± SD) | 19.65 (± 29.54) | 30.15 (± 38.21) | 0.1963 |
Duration of pain (mins) (± SD) | 30.15 (± 38.21) | 47.58 (± 35.51) | 0.1488 |
Recurrence | 23 (55) | 14 (42) | 0.2880 |
Pulse rate (beats per minute) (± SD) | 84.16 (± 28.20) | 87.84 (± 19.89) | 0.4072 |
Systolic blood pressure (mmHg) (± SD) | 130.67 (± 35.84) | 144.84 (± 33.30) | 0.0822 |
Diastolic blood pressure (mmHg) (± SD) | 75.90 (± 19.81) | 80.21 (± 17.91) | 0.9568 |
ECG findings | |||
Normal | 2 (5) | 2 (6) | 0.7859 |
Previous MI | 9 (21) | 9 (27) | 0.5203 |
ST depression | 19 (44) | 16 (48) | 0.7094 |
T-wave changes | |||
Flattening | 6 (14% | 1 (3) | 0.0829 |
Inversion | 10 (23) | 11 (33) | 0.3315 |
Dynamic changes | 10 (23) | 12 (36) | 0.2129 |
Wellens’ syndrome | 2 (5) | 4 (12) | 0.2322 |
Left ventricular hypertrophy | 5 (12) | 5 (15) | 0.6536 |
Left bundle branch block (old) | 4 (9) | 4 (12) | 0.6925 |
Right bundle branch block | 6 (14) | 4 (12) | 0.8142 |
Atrial fibrillation | 3 (7) | 2 (6) | 0.8727 |
Atrial flutter | 0 (0) | 1 (3) | 0.2505 |
Finger-prick blood glucose (mmol/l) | |||
< 4 .0 | 1 (2) | 0 (0) | 0.3779 |
4.1–6.9 | 27 (63) | 15 (45) | 0.1319 |
7.0–10.0 | 8 (19) | 6 (18) | 0.9624 |
10.1–19.9 | 7 (16) | 10 (30) | 0.1459 |
≥ 20.0 | 0 (0) | 2 (6) | 0.1018 |
Temperature (°C) | 35.85 (± 0.61) | 36.10 (± 0.59) | 0.0768 |
Cardiac failure | 18 (42) | 12 (36) | 0.4740 |
Killip II | 8 (19) | 5 (15) | 0.6919 |
Killip III | 3 (7) | 5 (15) | 0.2497 |
Killip IV | 7 (16) | 2 (6) | 0.1718 |
Serum creatinine (μmol/l) (± SD) | 100.09 (± 35.46) | 101.21 (± 33.75) | 0.1938 |
TIMI score (± SD) | 3.46 (± 1.42) | 4.33 (± 1.08) | 0.0046* |
GRACE score (± SD) | |||
Probability of death | |||
in hospital | 8.79 (± 14.60)% | 5.49 (± 0.09)% | 0.2321 |
at 6 months | 15.57 (± 22.49)% | 11.03 (± 12.68)% | 0.2695 |
Probability of death or MI | |||
in hospital | 18.81 (± 12.82)% | 16.72 (± 8.94)% | 0.4279 |
at 6 months | 31.67 (± 19.59)% | 28.39 (± 13.36)% | 0.4119 |
*p-values calculated comparing TBH and secondary hospital groups, p < 0.05 was statistically significant.