Disparities in patients presenting to the emergency department with potential acute coronary syndrome: It matters if you are Black or White
Disparities in patients presenting to the emergency department with potential acute coronary syndrome: It matters if you are Black or White
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DOI：
10.1016/j.hrtlng.2014.04.019
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发表时间：
2014-07-01
期刊：
影响因子：
2.8
通讯作者：
Riley, Barth
中科院分区：
文献类型：
--
作者：
DeVon, Holli A.;Burke, Larisa A.;Riley, Barth
目的：探讨在急诊科就诊的潜在急性冠脉综合征(ACS)患者中非西班牙裔黑人和非西班牙裔白人之间的差异。背景：资源较少的个体健康状况较差，且这些个体中的有色人种比例不成比例。在基线、1个月和6个月时测量临床表现、治疗和患者报告的结果变量。结果：与白人相比，确诊为急性冠脉综合征的黑人更年轻，收入更低，教育程度更低，危险因素更多，症状更多，院前出现延迟更长。经历心悸、异常疲劳和胸痛的黑人患急性冠脉综合征的可能性是白人的3倍以上。患有急性冠脉综合征的黑人患者出院后1个月就诊次数更多，症状也更多。结论：与向急诊科就诊的白人相比，黑人在临床表现和预后方面仍存在显著的种族差异。(C)2014 Elsevier Inc.保留所有权利。
Objectives: To explore disparities between non-Hispanic Blacks and non-Hispanic Whites presenting to the emergency department (ED) with potential acute coronary syndrome (ACS).Background: Individuals with fewer resources have worse health outcomes and these individuals are disproportionately those of color.Methods: This prospective study enrolled 663 patients in four EDs. Clinical presentation, treatment, and patient-reported outcome variables were measured at baseline, 1, and 6 months.Results: Blacks with confirmed ACS were younger; had lower income; less education; more risk factors; more symptoms, and longer prehospital delay at presentation compared to Whites. Blacks experiencing palpitations, unusual fatigue, and chest pain were more than 3 times as likely as Whites to have ACS confirmed. Blacks with ACS had more clinic visits and more symptoms 1 month following discharge.Conclusions: Significant racial disparities remain in clinical presentation and outcomes for Blacks compared to Whites presenting to the ED with symptoms suggestive of ACS. (C) 2014 Elsevier Inc. All rights reserved.