Clinical characteristics of Aboriginal and Torres Strait Islander emergency department patients with suspected acute coronary syndrome

Autor: Laura Stephensen, Jaimi Greenslade, Katrina Starmer, Greg Starmer, Richard Stone, Robert Bonnin, Anthony Brazzale, Tileah Drahm‐Butler, Virginia Campbell, Tania Davis, Elizabeth Mowatt, Nathan Brown, Karlie Proctor, Sarah Ashover, Tanya Milburn, Louise McCormack, Nicholas Graves, Michelle Gatton, Ray Mahoney, William Parsonage, Louise Cullen
Rok vydání: 2022
Předmět:
Zdroj: Emergency Medicine Australasia. 35:442-449
ISSN: 1742-6723
1742-6731
DOI: 10.1111/1742-6723.14138
Popis: To describe the demographics, presentation characteristics, clinical features and cardiac outcomes for Aboriginal and Torres Strait Islander patients who present to a regional cardiac referral centre ED with suspected acute coronary syndrome (ACS).This was a single-centre observational study conducted at a regional referral hospital in Far North Queensland, Australia from November 2017 to September 2018 and January 2019 to December 2019. Study participants were 278 Aboriginal and Torres Strait Islander people presenting to an ED and investigated for suspected ACS. The main outcome measure was the proportion of patients with ACS at index presentation and differences in characteristics between those with and without ACS.ACS at presentation was diagnosed in 38.1% of patients (n = 106). The mean age of patients with ACS was 53.5 years (SD 9.5) compared with 48.7 years (SD 12.1) in those without ACS (P = 0.001). Patients with ACS were more likely to be male (63.2% vs 39.0%, P 0.001), smokers (70.6% vs 52.3%, P = 0.002), have diabetes (56.6% vs 38.4%, P = 0.003) and have renal impairment (24.5% vs 10.5%, P = 0.002).Aboriginal and Torres Strait Islander patients with suspected ACS have a high burden of traditional cardiac risk factors, regardless of whether they are eventually diagnosed with ACS. These patients may benefit from assessment for coronary artery disease regardless of age at presentation.
Databáze: OpenAIRE
Externí odkaz: