IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i17p10700-d899600.html
   My bibliography  Save this article

Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals

Author

Listed:
  • Eleanor Redwood

    (Department of Cardiology, Northern Beaches Hospital, Sydney, NSW 2086, Australia)

  • Karice Hyun

    (School of Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia
    ANZAC Research Institute, Concord Repatriation General Hospital, Sydney, NSW 2137, Australia)

  • John French

    (Liverpool Hospital, Liverpool, NSW 2170, Australia)

  • Derek Chew

    (Department of Cardiology, Flinders University, Adelaide, SA 5042, Australia)

  • Leonard Kritharides

    (Atherosclerosis Laboratory, ANZAC Research Institute, Concord Repatriation General Hospital, University of Sydney, Sydney, NSW 2000, Australia)

  • David Brieger

    (Department of Cardiology, Concord Repatriation General Hospital, Hospital Road, Concord, Sydney, NSW 2139, Australia)

Abstract

Objective: The National Heart Foundation’s Warning Signs Campaign (2009–2013) aimed to raise awareness amongst the public of Acute Coronary Syndrome (ACS), encouraging people to recognise suggestive symptoms and seek immediate medical attention. This study explores the impact of the campaign on the characteristics of patients presenting to hospitals around Australia with ACS. Design: Retrospective cohort analysis Setting: 10 Australian Hospitals recruiting for the CONCORDANCE registry continuously throughout the campaign period. Participants: Patients presenting with ACS to hospitals before, during and after the campaign ran in their jurisdiction. Main Outcome Measures: Whether an ambulance was called, time between onset of symptoms to first medical contact, as well as time between onset of symptoms to primary percutaneous intervention or lysis. Results: Time to first medical contact did not improve during or post-campaign for NSTEACS medical hours (IQI) 1.6 (0.5–4.8) pre, 2.2 (0.7–7.6) during, 2 (0.7–6.9) post ( p < 0.001) or STEMI, 1.1 (0.4–3.5) pre, 1.6 (0.6–5.1) during, 1.4 (0.5–4.3) post ( p = 0.0113). In STEMI, time from symptom onset to pPCI ( p = 0.256) and time to lysis ( p = 0.387) were also unchanged. The proportion of ambulance arrivals remained stable (pre 55% vs. during 58%, p = 0.493). Patients presenting during the campaign were more likely to be born in Australia 56% pre, 69% during, 68% post ( p < 0.001), to report English as a first language 67% pre, 84% during, 79% post ( p < 0.001), and had lower likelihood of prior MI or revascularization but greater likelihood of cardiovascular risk factors compared to those presenting prior. Conclusion: Among patients with ACS, we detected no increase in proportion of ambulance presentations nor earlier presentations among NSTEACS or STEMI during the campaign. There was an increase in the proportion of patients for whom English was the first language and those without a prior cardiac history but with cardiovascular risk factors, suggesting that the campaign impacted preferentially on certain strata in the community.

Suggested Citation

  • Eleanor Redwood & Karice Hyun & John French & Derek Chew & Leonard Kritharides & David Brieger, 2022. "Impact of the “Warning Signs Campaign” on Characteristics of Patients Presenting with Acute Coronary Syndrome (ACS) to Hospitals," IJERPH, MDPI, vol. 19(17), pages 1-7, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10700-:d:899600
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/17/10700/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/17/10700/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Niederdeppe, J. & Fiore, M.C. & Baker, T.B. & Smith, S.S., 2008. "Smoking-cessation media campaigns and their effectiveness among socioeconomically advantaged and disadvantaged populations," American Journal of Public Health, American Public Health Association, vol. 98(5), pages 916-924.
    2. Mariusz Duplaga, 2019. "Perception of the Effectiveness of Health-Related Campaigns among the Adult Population: An Analysis of Determinants," IJERPH, MDPI, vol. 16(5), pages 1-14, March.
    3. Bernadette Hyland-Wood & John Gardner & Julie Leask & Ullrich K. H. Ecker, 2021. "Toward effective government communication strategies in the era of COVID-19," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-11, December.
    4. Niederdeppe, Jeff & Kuang, Xiaodong & Crock, Brittney & Skelton, Ashley, 2008. "Media campaigns to promote smoking cessation among socioeconomically disadvantaged populations: What do we know, what do we need to learn, and what should we do now?," Social Science & Medicine, Elsevier, vol. 67(9), pages 1343-1355, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Loiacono, Luisa & Puglisi, Riccardo & Rizzo, Leonzio & Secomandi, Riccardo, 2022. "Pandemic knowledge and regulation effectiveness: Evidence from COVID-19," Journal of Comparative Economics, Elsevier, vol. 50(3), pages 768-783.
    2. Jennifer Cantrell & Donna M Vallone & James F Thrasher & Rebekah H Nagler & Shari P Feirman & Larry R Muenz & David Y He & Kasisomayajula Viswanath, 2013. "Impact of Tobacco-Related Health Warning Labels across Socioeconomic, Race and Ethnic Groups: Results from a Randomized Web-Based Experiment," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-11, January.
    3. repec:plo:pone00:0227813 is not listed on IDEAS
    4. Suzanne Phibbs & Christine Kenney & Christina Severinsen & Jon Mitchell & Roger Hughes, 2016. "Synergising Public Health Concepts with the Sendai Framework for Disaster Risk Reduction: A Conceptual Glossary," IJERPH, MDPI, vol. 13(12), pages 1-21, December.
    5. Tassisius Muzivi, 2022. "An Effective and Prompt Assessment of Good Corporate Governance on Public Sector Entities- Evaluation of Ideal Best Practices," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 6(1), pages 690-698, January.
    6. Ding, Hongxiang & Zhang, Junyi, 2021. "Dynamic associations between temporal behavior changes caused by the COVID-19 pandemic and subjective assessments of policymaking: A case study in Japan," Transport Policy, Elsevier, vol. 110(C), pages 58-70.
    7. Peer Henri Kieweg & Stefanie Schöberl & Gabriele Palozzi, 2021. "The Role of Communication In COVID-19 Crisis Management: Findings about Information Behavior of German and Italian Young People," International Journal of Business Research and Management (IJBRM), Computer Science Journals (CSC Journals), vol. 12(5), pages 263-288, October.
    8. Jida Liu & Zheng Fu & Yuwei Song & Ruining Ma & Zebin Zhao, 2024. "How to improve the effectiveness of the cooperation networks of emergency science communication for public health emergencies," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-15, December.
    9. Jordana Crislayne de Lima Paiva & Sara Dias-Trindade & Mario Orestes Aguirre Gonzalez & Daniele Montenegro da Silva Barros & Pablo Holanda Cardoso & Pedro Henrique Castro Bezerra & Thaisa Gois Farias , 2022. "Analysis of the Impact of Communication Campaigns under the Project “Syphilis No”: A National Tool for Inducing and Promoting Health," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    10. Bob O. Amodan & Lilian Bulage & Elizabeth Katana & Alex R. Ario & Joseph N. Siewe Fodjo & Robert Colebunders & Rhoda K. Wanyenze, 2020. "Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda," IJERPH, MDPI, vol. 17(23), pages 1-14, November.
    11. Melody M. Terras & Dominic Jarrett & Sharon A. McGregor, 2021. "The Importance of Accessible Information in Promoting the Inclusion of People with an Intellectual Disability," Disabilities, MDPI, vol. 1(3), pages 1-19, June.
    12. Bin Yang & Naipeng Chao & Cheng-Jun Wang, 2023. "A solid camp with flowing soldiers: heterogeneous public engagement with science communication on Twitter," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-12, December.
    13. Lauren M. Dutra & Matthew C. Farrelly & James Nonnemaker & Brian Bradfield & Jennifer Gaber & Minal Patel & Elizabeth C. Hair, 2019. "Differential Relationship between Tobacco Control Policies and U.S. Adult Current Smoking by Poverty," IJERPH, MDPI, vol. 16(21), pages 1-16, October.
    14. Lei, Lianlian & Liu, Feng, 2021. "Medicaid coverage and use of nicotine replacement treatment," Economics & Human Biology, Elsevier, vol. 40(C).
    15. Bireswar Dutta & Mei-Hui Peng & Chien-Chih Chen & Shu-Lung Sun, 2022. "Role of Infodemics on Social Media in the Development of People’s Readiness to Follow COVID-19 Preventive Measures," IJERPH, MDPI, vol. 19(3), pages 1-22, January.
    16. Hadi Alizadeh & Ayyoob Sharifi & Safiyeh Damanbagh & Hadi Nazarnia & Mohammad Nazarnia, 2023. "Impacts of the COVID-19 pandemic on the social sphere and lessons for crisis management: a literature review," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 117(3), pages 2139-2164, July.
    17. Anisa Safiah Maznorbalia & Muhammad Aiman Awalluddin & Ardzlyn Hawatul Yuhanis Ayob, 2023. "Exploring the role of institutional investors in voting, monitoring and dialogue engagement in mitigating agency conflict in Malaysia’s public listed companies," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-9, December.
    18. James F. Thrasher & Farahnaz Islam & Rachel E. Davis & Lucy Popova & Victoria Lambert & Yoo Jin Cho & Ramzi G. Salloum & Jordan Louviere & David Hammond, 2018. "Testing Cessation Messages for Cigarette Package Inserts: Findings from a Best/Worst Discrete Choice Experiment," IJERPH, MDPI, vol. 15(2), pages 1-21, February.
    19. Andrew B. Seidenberg & Catherine L. Jo & Kurt M. Ribisl & Joseph G. L. Lee & Francisco O. Buchting & Yoonsang Kim & Sherry L. Emery, 2017. "A National Study of Social Media, Television, Radio, and Internet Usage of Adults by Sexual Orientation and Smoking Status: Implications for Campaign Design," IJERPH, MDPI, vol. 14(4), pages 1-14, April.
    20. Kason Ka Ching Cheung & Ho-Yin Chan & Sibel Erduran, 2023. "Communicating science in the COVID-19 news in the UK during Omicron waves: exploring representations of nature of science with epistemic network analysis," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-14, December.
    21. Dilyara Nabirova & Ryszhan Taubayeva & Ainur Maratova & Alden Henderson & Sayagul Nassyrova & Marhzan Kalkanbayeva & Sevak Alaverdyan & Manar Smagul & Scott Levy & Aizhan Yesmagambetova & Daniel Singe, 2022. "Factors Associated with an Outbreak of COVID-19 in Oilfield Workers, Kazakhstan, 2020," IJERPH, MDPI, vol. 19(6), pages 1-16, March.

    More about this item

    Keywords

    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10700-:d:899600. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.