PMID- 26025691
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20221207
IS  - 1460-2393 (Electronic)
IS  - 1460-2393 (Linking)
VI  - 109
IP  - 3
DP  - 2016 Mar
TI  - Symptom-to-door times in patients presenting with ST elevation myocardial 
      infarction--do ethnic or gender differences exist?
PG  - 175-80
LID - 10.1093/qjmed/hcv112 [doi]
AB  - BACKGROUND: Studies have shown higher in-hospital mortality for female patients 
      and ethnic minorities admitted to hospital with acute ST elevation myocardial 
      infarction (STEMI). Pre-hospital delay is thought to be associated with increased 
      in-hospital mortality. AIM: To assess the impact of gender and ethnicity on 
      symptom-to-door time (STDT) in patients presenting with STEMI. DESIGN: 
      Retrospective survey of consecutive patients receiving primary percutaneous 
      coronary intervention between January 2008 and January 2013. A multivariate model 
      was used to adjust for confounders. MAIN OUTCOME MEASURE: Influence of gender and 
      ethnicity on STDT. RESULTS: We analysed 1020 patients (75% male, 263 South 
      Asians, 38 Afro Caribbeans and 719 White Europeans.) There was a trend towards 
      longer unadjusted median STDT in women compared with men (132 min vs. 113 min 
      P = 0.07) which disappeared after correction for age and ethnicity (P = 0.15). 
      There was no gender difference in hospital mortality after correction for age 
      (odds ratio 0.69, 95% confidence interval 0.40-1.18, P = 0.17). On linear 
      regression analysis South Asians showed a trend towards longer STDT than other 
      ethnic groups (P = 0.08) however after adjustment for diabetes there was no 
      association between South Asian ethnicity and hospital mortality. CONCLUSIONS: 
      Neither female gender nor ethnicity were shown to be associated with significant 
      pre-hospital delay.
CI  - (c) The Author 2015. Published by Oxford University Press on behalf of the 
      Association of Physicians. All rights reserved. For Permissions, please email: 
      journals.permissions@oup.com.
FAU - Brown, Richard A
AU  - Brown RA
AD  - From the University of Birmingham Centre for Cardiovascular Sciences, City 
      Hospital, Birmingham, UK and.
FAU - Shantsila, Eduard
AU  - Shantsila E
AD  - From the University of Birmingham Centre for Cardiovascular Sciences, City 
      Hospital, Birmingham, UK and Cardiology Department at Sandwell and West 
      Birmingham Hospitals NHS Trust, City Hospital, Birmingham and Sandwell Hospital, 
      West Bromwich, UK.
FAU - Varma, Chetan
AU  - Varma C
AD  - Cardiology Department at Sandwell and West Birmingham Hospitals NHS Trust, City 
      Hospital, Birmingham and Sandwell Hospital, West Bromwich, UK.
FAU - Lip, Gregory Y H
AU  - Lip GY
AD  - From the University of Birmingham Centre for Cardiovascular Sciences, City 
      Hospital, Birmingham, UK and Cardiology Department at Sandwell and West 
      Birmingham Hospitals NHS Trust, City Hospital, Birmingham and Sandwell Hospital, 
      West Bromwich, UK richardbrown4@nhs.net.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20150528
PL  - England
TA  - QJM
JT  - QJM : monthly journal of the Association of Physicians
JID - 9438285
SB  - IM
MH  - Adult
MH  - Aged
MH  - Asian People/statistics & numerical data
MH  - Black People/statistics & numerical data
MH  - England/epidemiology
MH  - Female
MH  - Hospital Mortality
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention
MH  - Retrospective Studies
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/*ethnology/*therapy
MH  - Sex Factors
MH  - Time Factors
MH  - Time-to-Treatment/statistics & numerical data
MH  - Treatment Outcome
MH  - White People/statistics & numerical data
EDAT- 2015/05/31 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/05/31 06:00
PHST- 2015/03/13 00:00 [received]
PHST- 2015/05/31 06:00 [entrez]
PHST- 2015/05/31 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - hcv112 [pii]
AID - 10.1093/qjmed/hcv112 [doi]
PST - ppublish
SO  - QJM. 2016 Mar;109(3):175-80. doi: 10.1093/qjmed/hcv112. Epub 2015 May 28.