Abstract P93: Differences in Practice Patterns and Outcomes Between Hispanics and Non-Hispanic Whites Treated for ST-Segment Elevation Myocardial Infarction: Results From ACTION Registry - Get With the Guidelines
| Autor: | Luis A Guzman, Ileana L Piña, Wang Y Tracy, Larissa Aviles, Martha Daviglus, Jose Exaire, Carlos Rodriguez, Vilma Torres, Shuang Li, Marjorie Funk, Jorge Saucedo, Chris Granger, Mauricio G Cohen |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 4 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.4.suppl_1.ap93 |
| Popis: | Background: Ethnic differences have been reported in the treatment and outcomes of patients with non-ST-segment elevation myocardial infarction (non-STEMI). Potential ethnic disparities in contemporary STEMI management have not been well characterized. Methods: We compared practice patterns and outcomes between 1,654 Hispanics (H) (4.1%) and 38,844 non-Hispanic Whites (NHW) treated for STEMI in ACTION Registry-GWTG between 01-2007 and 03-2009. Logistic generalized estimating equation modeling was used to examine associated risk-adjusted mortality. Results: Hispanic patients more frequently had diabetes (32% vs 21%, p Conclusions: Despite similar in-hospital mortality, Hispanic STEMI patients had significant differences in process of care with longer triage and treatment delays than non-Hispanic Whites. As the fastest growing minority in the United States, this population needs further efforts to optimize their care processes Hispanics Non-Hispanic Whites p value Ambulance use 41.5% 47.0% Pre-Hospital EKG 32.8% 37.5% Onset of pain to arrival (median) 2.0 hrs 1.6 hrs Arrival to EKG (median) 8 min 6 min Arrival to EKG 61.2% 69.3% Reperfusion therapy 91.6% 93.1% 0.04 Arrival to PCI (median) 74 min 69 min DTB 69.4% 77.5% |
| Databáze: | OpenAIRE |
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