| Ethnic minorities exhibit reduction in door-to-balloon time comparable to whites with a newly-implemented emergency physician activation protocol (Code-STEMI). | |
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MedLine Citation:
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PMID: 19805836 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Studies have shown significant differences in door-to-balloon times (D2B) for ethnic minority patients (minorities) undergoing angioplasty for ST-elevation myocardial infarction (STEMI) compared to white patients (white). In this study, we evaluated the D2B for these groups before and after modification of the emergency protocol for STEMI. METHODS: We compared D2B for 51 consecutive STEMIs during 2006, (serial activation protocol, SAP) with D2B times for 72 consecutive STEMI patients during 2007 when a "Code STEMI" (concurrent activation) protocol was instituted. Outcomes were D2B times in whites versus minorities, pre- and post-Code-STEMI, length of stay (LOS) and peak troponin I levels. RESULTS: The median D2B time in the SAP group was 113 (whites) vs. 122 (minorities) minutes (p = 0.324), as compared to 74 (whites) vs. 78 (minorities) minutes (p = 0.324) in the Code STEMI group. The D2B for both groups was significantly reduced (p < 0.0001) with the use of Code STEMI. The median peak troponin I in the SAP group was 97 ng/mL (whites) vs. 78 ng/mL (minorities) (p = 0.084), as compared to 54 ng/mL (whites) vs. 29 ng/mL (minorities) (p = 0.084) for the Code STEMI group. LOS was 4.88 days (whites) vs. 4.39 days (minorities) (p = 0.84) in the SAP group, as compared to 3.7 days (whites) vs. 3.4 days (minorities) (p = 0.84) for the Code STEMI group, a significant change (p = 0.012) for both groups. CONCLUSION: No ethnic disparity was observed in the mean D2B time, LOS and peak troponin I levels between whites and minorities; both groups demonstrated comparable improvement in all outcomes evaluated. |
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Authors:
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Anthony Al-Dehneh; Rupen Parikh; Aiman Hamdan; Donna Konlian; Robert Faillace; Vincent A Debari; Edward Jimenez; Mahesh Bikkina |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 21 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-06 Completed Date: 2010-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 506-10 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Seton Hall University, St. Joseph's Regional Medical Center, Paterson, New Jersey 07503, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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African Americans
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ethnology Aged Angioplasty, Balloon Angioplasty, Transluminal, Percutaneous Coronary* Asian Americans / ethnology Electrocardiography Emergency Medical Services / standards* European Continental Ancestry Group / ethnology Female Health Services Accessibility / statistics & numerical data* Hispanic Americans / ethnology Humans Length of Stay Male Middle Aged Minority Groups / statistics & numerical data* Myocardial Infarction / blood, ethnology*, therapy* Outcome Assessment (Health Care) Retrospective Studies Time Factors Troponin I / blood |
| Chemical | |
Reg. No./Substance:
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0/Troponin I |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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