OBJECTIVE: We aimed to assess the @entity583 management in Tunis public hospitals during one year (from March 2000 to February 2001). METHOD: A standard questionnaire was designed to record prospective data on 740 @entity1 with a follow up during 28 days. Multivariate analysis was performed using the logistic regression model with all-factors as well as age, gender, CHD risk factors as predictors of the delay and @entity3329 . 54% of @entity1 were admitted during the first 6 hours after the onset of symptoms. In multivariate analysis, the delay of consultation is significantly correlated with gender (OR = 2.3, p < 0.001), age (OR = 1.02, p < 0.01) and health insurance (OR = 1.5, p < 0.01). 90% of @entity1 consulted in emergency wards. The emergency ambulance transported 19.6% of @entity1 . 48% of @entity1 underwent early revascularisation of thrombolysis, 51% on @entity1 vs 31% on @entity1 (p < 0.01). The @entity3329 rate was higher on @entity1 14% vs 6.4% on @entity1 (p < 0.01) at 5 days and 27.2% vs 13.6% at 28 days. In multivariate analysis, the principal @entity3329 predictive factor was age (RR = 1.08, p < 0.001) and delay (2.56 p < 0.001) and @entity286 smoking (RR = 2.83, p < 0.0001). CONCLUSION: This study highlighted the problem of @entity583 management in public hospitals in Tunisia and it constitutes a baseline to assess different interventions focusing on @entity65 control and surveillance.

[Delays in XXXX treatment: results of a multicenter study in the district of Tunis (Tunisia)].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity3329 :: ('MESH:D008206', 'Disease') :: ['fatality'] @entity583 :: ('MESH:D009203', 'Disease') :: ['acute myocardial infarction'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular diseases']
@entity583 :: (MESH:D009203,Disease) :: ['acute myocardial infarction']
