Table 3.
Reported outcomes in mass-media and personalised interventions
| Study | Prehospital delay | EMS use | Symptom knowledge | |||
| Measurement | Change | Measurement | Change | Measurement | Change | |
| Mass-media interventions | ||||||
| Bray et al19 | PHD ≤2 hours (AOR) |
+3.10 p=0.007 |
EMS use (%) |
+5 p=0.05 |
Increased ACS knowledge (%) | +1 p=0.80 |
| Thuresson et al(21 | n/r | n/r p>0.05 |
EMS use (%) |
+7.4 p=0.017 |
||
| Tummala and Farshid20 | Median (min) |
−4 p=0.81 |
EMS use (%) |
+1 p=0.87 |
||
| Pereira et al22 | Median (min) |
−24 p=0.008 |
EMS use (%) |
+24 p<0.001 |
||
| Naegeli et al23 | Median (min) |
−17 p<0.001 |
||||
| Diercks et al26 | Median (hours) |
−0.1 p=0.59 |
||||
| Luepker et al11 | Mean per year (%) |
−4.7 vs −6.8 p=0.54 |
EMS use (%) |
+20 p<0.005 |
||
| Gaspoz et al14 | Median (min) *only AMI |
−285 /−40* p<0.002 | EMS use (%) |
+2 p=NS |
||
| Blohm et al15 | Median (min) |
−40 p<0.001 |
EMS use (%) |
+3; −1 p=NS |
||
| Bett et al32 | Median (min) |
n/r p=NS |
||||
| Moses et al27 | Median (min) |
−3, +9 p=NS |
||||
| Ho et al28 | Median PD (min) |
−0.3 p=NS |
EMS use (%) |
+2 p=NS |
Increased AMI knowledge (%) | +16.5% p=0.002 |
| Mitic and Perkins33 | PHD <2 hours (%) |
+15.5 p<0.05 |
||||
| Personalised interventions | ||||||
| Mooney et al30 | Median (hours) |
−5.4 hours p≤0.001 | EMS use (%) |
−0.4 p=0.51 |
||
| Dracup et al29 | Median (min) |
−0.05 p=0.40 |
EMS use (%) |
−3 p=0.89 |
ACS Response Index Score |
Increase (n/r) p<0.0005 |
| Blank and Smithline24 | Median (min) |
−20 p=NS |
EMS use (%) |
+12 p=0.03 |
||
| Meischke et al31 | Median (min) |
+14, +4, –6 p>0.9 |
Calls to EMS (%) |
+2.9, +3, 8, +1, 1, p=NS | ||
| Black and Brown25 | PHD <1/ <2/<6 hours (%) | +111, +64, +40 p=sig. |
Symptom awareness (%) | +15–20 p=NA |
||
ACS, acute coronary syndrome; AMI, acute myocardial infarction; AOR, adjusted odds ratio; EMS, emergency medical services; n/r, not reported; NS, not significant; PD, patient delay; PHD, prehospital delay.