Author:
Banharak Samoraphop,Metprommarat Alin,Mahikul Wiriya,Jeamjitvibool Thanakrit,Karaket Anusorn
Abstract
AbstractThe older adult is an influential group experiencing acute myocardial infarction, delaying treatment and causing a high mortality rate. Factors related to their delay differ from other age groups, and their specific characteristics are barriers to recognizing their symptoms and learning new information. Therefore, specific innovative methods related to their limitations and needs should be considered when developing interventions promoting on-time treatment. This study aims to review intervention details and their effects on knowledge, belief, decision-making, rate of calling 911, and mortality among community-dwelling older adults at risk or after a first myocardial infarction compared to receiving usual care or no intervention. The 12 databases were searched unlimitedly until July 30, 2022. The two researchers independently reviewed the articles, and the third reviewer broke the tight when disagreement was found. Data were extracted, kinds of interventions were grouped, and intervention details were summarized narratively. Finally, the selected outcomes were analyzed by meta-analysis using a fixed and a random-effects model. Eleven articles were for final review. Interventions were categorized into eight groups: direct mail, community-based, multi-group health education, innovation methods, tailored education, structured education, tricked intervention promoting memory and concern, and nurse-based case management. Finally, the meta-analysis found that only innovative methods could increase the rate of calling 911 and taking aspirin (Odd ratio = 2.55; 95% CI = 1.01-6.44). In contrast, there were no statistically significant differences in the rate of affecting time to first unplanned readmission or death and time delay to the emergency room. Results recommended that effective and specific interventions must be developed and strengthened to promote older adults surviving acute myocardial infarction.Clinical Trial Registration Number: PROSPERO CRD42021247136.
Funder
the Gerontological Nursing Research Cluster, Faculty of Nursing, Khon Kaen University
Publisher
Springer Science and Business Media LLC
Reference45 articles.
1. World Health Organization. Aging and Health. Retrieved April 4, 2023, from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (2022).
2. American Heart Association. 2023 Heart Disease and Stroke Statistics Update Fact Sheet. 2023 Statistics Update—At-a-Glance Statistics. Retrieved April 4, 2023, from https://professional.heart.org/en/science-news/-/media/453448D7D79948B39D5851D1FF2A0CFE.ashx (2023).
3. Limpawattana, P. Geriatric Syndromes and Interesting Health Issues (Geriatric Medicine Department of Internal Medicine Faculty of Medicine Khon Kaen University, 2018).
4. Assantachai, P. Concerted actions toward healthy aging in ASEAN countries. Siriraj Medical Journal 73(9), 633–634. https://doi.org/10.33192/Smj.2021.81 (2021).
5. De Luca, G., Suryapranata, H., Ottervanger, J. P. & Antman, E. M. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: Every minute of delay counts. Circulation 109(10), 1223–1225. https://doi.org/10.1161/01.CIR.0000121424.76486.20 (2004).
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