Gender Differences in Door to Ekg Time in the Stemi Population Lead to Worse Cardiovascular Outcomes

Singh, Shailendra; Puma, Alexandria; Shenoy, Vinayak; Grayver, Yeva; Grayver, Evelina

doi:10.1016/s0735-1097(16)30632-5

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“…But the complaint of chest pain on arrival to the emergency department may lead to a final diagnosis of ST-elevation myocardial infarction where tissue perfusion is time sensitive and thus every minute matters. Delays in electrocardiograms lead to delays in further treatment and outcome 8 . For this reason, we believe the statistically significant findings are also clinically significant.…”

Section: Discussionmentioning

confidence: 99%

“…7 Recent research has shown that even when women present with typical acute coronary syndrome symptoms, they still wait longer than men for an initial diagnostic electrocardiogram and in turn have poorer outcomes. 8 Our emergency department is located in an urban setting on Miami Beach, Florida. From the 2018 U.S. Census Bureau, over 73% of the Miami-Dade population speaks Spanish as their primary language.…”

Section: An Evaluation Of Disparities Affecting Time From Emergency Department Door To Electrocardiogram In Patients With Chest Painmentioning

confidence: 99%

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Evaluating Disparities Affecting Time from Emergency Department Door to Electrocardiogram in Chest Pain Patients

2020

MedJEM

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Introduction: For patients presenting to an emergency department with a chief complaint of chest pain, current American Heart Association guidelines recommend that time from emergency department arrival to completion of electrocardiogram be 10 minutes or less. The aim of this study is to evaluate if differences still exist amongst a diverse patient population presenting to a busy urban emergency department with a chief complaint of chest pain. Methods: This retrospective study looked at 3,419 patients who presented to the Emergency Department with any complaint of chest pain during the medical screening examination. Arrival time and time of first electrocardiogram along with age, gender, race, ethnicity and primary language were extracted from electronic health records. Results: For all patients, the mean time to electrocardiogram was 12.5 minutes (95% CI: 12.1-12.7) and 49.9% of all patients received an electrocardiogram within 10 minutes of arrival. Mean time for men was 11.6 minutes and for women 13.3 minutes (P<0.0001); in addition 54% of men and 44.4% of women had electrocardiogram done within 10 minutes of arrival (P<0.0001). No differences were found with regards to primary language, race or ethnicity of patients. Mean time to electrocardiogram for patients less than 40 years old was 14.6 minutes, which was significantly longer than patients equal or older than 40 years, who’s mean time was 11.9 minutes (p<0.0001). The effect of age was observed across gender, race, ethnicity and primary language spoken by the patients. Conclusions: Patient presenting to the emergency department with chest pain are subject to several biases that potentially create health disparities. In this study we show that younger patients and women had a delay in time to electrocardiogram showing biases are still an issue.

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Section: Discussionmentioning

confidence: 99%

Section: An Evaluation Of Disparities Affecting Time From Emergency Department Door To Electrocardiogram In Patients With Chest Painmentioning

confidence: 99%

Evaluating Disparities Affecting Time from Emergency Department Door to Electrocardiogram in Chest Pain Patients

2020

MedJEM

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Gender Differences in Door to Ekg Time in the Stemi Population Lead to Worse Cardiovascular Outcomes

Cited by 1 publication

References 0 publications

Evaluating Disparities Affecting Time from Emergency Department Door to Electrocardiogram in Chest Pain Patients

Evaluating Disparities Affecting Time from Emergency Department Door to Electrocardiogram in Chest Pain Patients

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