Factors Associated With Longer Time to Treatment for Patients With Suspected Acute Coronary Syndromes: A Cohort Study.

Link to article at PubMed

Factors Associated With Longer Time to Treatment for Patients With Suspected Acute Coronary Syndromes: A Cohort Study.

Circ Cardiovasc Qual Outcomes. 2014 Jan 14;

Authors: Sullivan AL, Beshansky JR, Ruthazer R, Murman DH, Mader TJ, Selker HP

Abstract
BACKGROUND: <0.01; 10 minutes, P=0.03; and 6 minutes, P=0.02, respectively), compared with their counterparts. Time from emergency medical services arrival to ECG was longer for women (1.5 minutes; P<0.01), older individuals (1.3 minutes; P<0.01), and those without a primary complaint of chest pain (3.5 minutes; P<0.01). On-scene times were longer for women (2 minutes; P<0.01) and older individuals (2 minutes; P<0.01). Older individuals and participants presenting on weekends and nights had longer door-to-balloon times (by 10, 14, and 11 minutes, respectively; P<0.01). Women and older individuals had longer total times (medical contact to balloon inflation: 16 minutes, P=0.01, and 9 minutes, P<0.01, respectively; symptom onset to balloon inflation: 31.5 minutes for women; P=0.02).Conclusions-We found delays throughout ACS care, resulting in substantial differences in total times for women and older individuals. These delays may impact outcomes; a comprehensive approach to reduce delay is needed.

PMID: 24425697 [PubMed - as supplied by publisher]

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