Elapsed time in emergency medical services for patients with cardiac complaints are some patients at greater risk for delay?

Circulation: Cardiovascular Quality and Outcomes

Volumn 2, Issue 1, 2009, Pages 9-15

  Concannon, Thomas W ^a   Griffith, John L ^a   Kent, David M ^a   Normand, Sharon Lise ^b,c   Newhouse, Joseph P ^b,c,d,e   Atkins, James ^f   Beshansky, Joni R ^a   Selker, Harry P ^a  

^a TUFTS UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^d HARVARD UNIVERSITY   (United States)

^e HARVARD UNIVERSITY   (United States)

^f UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Heart diseases; Patients; Population; Women

Indexed keywords

ADULT; ARTICLE; CLINICAL ASSESSMENT; COHORT ANALYSIS; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; FEMALE; GEOGRAPHIC DISTRIBUTION; HEALTH CARE; HEART DISEASE; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; SEX DIFFERENCE; SOCIOECONOMICS; THERAPY DELAY; UNITED STATES; AGED; CLINICAL TRIAL; DEMOGRAPHY; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; MIDDLE AGED; MULTICENTER STUDY; PATIENT TRANSPORT; RISK; RISK FACTOR; STATISTICAL MODEL; TIME;

ADULT; AGED; EMERGENCY MEDICAL SERVICES; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HEART DISEASES; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; RESIDENCE CHARACTERISTICS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SEX FACTORS; TEXAS; TIME FACTORS; TRANSPORTATION OF PATIENTS; TRIAGE;

EID: 68749105945     PISSN: 19417713     EISSN: 19417705     Source Type: Journal    
DOI: 10.1161/CIRCOUTCOMES.108.813741     Document Type: Article

References (32)

1. Boersma E, Maas AC, Deckers JW, Simoons ML. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet. 1996; 348: 771-775.
2. Weaver WD. Time to thrombolytic treatment: factors affecting delay and their influence on outcome. J Am Coll Cardiol. 1995; 25 (7 suppl) : 3S-9S.
3. Bradley EH, Herrin J, Wang Y, Barton BA, Webster TR, Mattera JA, Roumanis SA, Curtis JP, Nallamothu BK, Magid DJ, McNamara RL, Parkosewich J, Loeb JM, Krumholz HM. Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med. 2006; 355: 2308-2320.
4. Hutchings CB, Mann NC, Daya M, Jui J, Goldberg R, Cooper L, Goff DC Jr, Cornell C. Patients with chest pain calling 9-1-1 or self-transporting to reach definitive care: which mode is quicker? Am Heart J. 2004; 147: 35-41.
5. Canto JG, Taylor HA Jr, Rogers WJ, Sanderson B, Hilbe J, Barron HV. Use of emergency medical services in acute myocardial infarction and subsequent quality of care: observations from the National Registry of Myocardial Infarction 2. Circulation. 2002; 106: 3018-3023.
6. Concannon TW, Kent DM, Normand SL, Newhouse JP, Griffith JL, Ruthazer R, Beshansky JR, Wong JB, Aversano T, Selker HP. A geospatial analysis of emergency transport and inter-hospital transfer in ST-segment elevation myocardial infarction. Am J Cardiol. 2008; 101: 69-74.
7. National EMS Information System (NEMSIS) Update. Joint National EMS Teleconference. August 23, 2007. Available at: http://www.nemsis.org/media/ppt/ JointNationalEMSLeadershipPresentation. ppt.
8. Little RJA, Rubin DB. Statistical Analysis with Missing Data. New York: J. Wiley & Sons; 1987.
9. Schafer JL. Analysis of Incomplete Multivariate Data. London: Chapman & Hall; 1997.
10. Lunceford JK, Davidian M. Stratification and weighting via the propensity score in estimation of causal treatment effects: a comparative study. Stat Med. 2004; 23: 2937-2960.
11. Apparecio P, Shearmur R, Brochu M, Dussault G. The measure of distance in a social science policy context: advantages and costs of using network distances in eight Canadian metropolitan areas. J Geogr Inform Decis Anal. 2003; 7: 105-131.
12. Goldberg RJ, Gurwitz JH, Gore JM. Duration of, and temporal trends (1994-1997) in, prehospital delay in patients with acute myocardial infarction: the second National Registry of Myocardial Infarction. Arch Intern Med. 1999; 159: 2141-2147.
13. Zijlstra F, Patel A, Jones M, Grines CL, Ellis S, Garcia E, Grinfeld L, Gibbons RJ, Ribeiro EE, Ribichini F, Granger C, Akhras F, Weaver WD, Simes RJ. Clinical characteristics and outcome of patients with early (<2 h), intermediate (2-4 h) and late (>4 h) presentation treated by primary coronary angioplasty or thrombolytic therapy for acute myocardial infarction. Eur Heart J. 2002; 23: 550-557.
14. Mehilli J, Ndrepepa G, Kastrati A, Nekolla SG, Markwardt C, Bollwein H, Pache J, Martinoff S, Dirschinger J, Schwaiger M, Schömig A. Gender and myocardial salvage after reperfusion treatment in acute myocardial infarction. J Am Coll Cardiol. 2005; 45: 828-831. (Pubitemid 40342805)
15. Blomkalns AL, Chen AY, Hochman JS, Peterson ED, Trynosky K, Diercks DB, Brogan GX Jr, Boden WE, Roe MT, Ohman EM, Gibler WB, Newby LK. Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the American College of Cardiology/American Heart Association Guidelines) National Quality Improvement Initiative. J Am Coll Cardiol. 2005; 45: 832-837.
16. Angeja BG, Gibson CM, Chin R, Frederick PD, Every NR, Ross AM, Stone GW, Barron HV. Predictors of door-to-balloon delay in primary angioplasty. Am J Cardiol. 2002; 89: 1156-1161.
17. Milcent C, Dormont B, Durand-Zaleski I, Steg PG. Gender differences in hospital mortality and use of percutaneous coronary intervention in acute myocardial infarction: microsimulation analysis of the 1999 Nationwide French Hospitals Database. Circulation. 2007; 115: 833-839.
18. Anderson RD, Pepine CJ. Gender differences in the treatment for acute myocardial infarction: bias or biology? Circulation. 2007; 115: 823-826. (Pubitemid 46294721)
19. Zucker DR, Griffith JL, Beshansky JR, Selker HP. Presentations of acute myocardial infarction in men and women. J Gen Intern Med. 1997; 12: 79-87. (Pubitemid 27131228)
20. Finnegan JR Jr, Meischke H, Zapka JG, Leviton L, Meshack A, Benjamin-Garner R, Estabrook B, Hall NJ, Schaeffer S, Smith C, Weitzman ER, Raczynski J, Stone E. Patient delay in seeking care for heart attack symptoms: findings from focus groups conducted in five U. S. regions. Prev Med. 2000; 31: 205-213.
21. Kleindorfer DO, Lindsell CJ, Broderick JP, Flaherty ML, Woo D, Ewing I, Schmit P, Moomaw C, Alwell K, Pancioli A, Jauch E, Khoury J, Miller R, Schneider A, Kissela BM. Community socioeconomic status and prehospital times in acute stroke and transient ischemic attack: do poorer patients have longer delays from 911 call to the emergency department? Stroke. 2006; 37: 1508-1513.
22. Jacobs AK, Antman EM, Ellrodt G, Faxon DP, Gregory T, Mensah GA, Moyer P, Ornato J, Peterson ED, Sadwin L, Smith SC. Recommendation to develop strategies to increase the number of ST-segment-elevation myocardial infarction patients with timely access to primary percutaneous coronary intervention. Circulation. 2006; 113: 2152-2163.
23. Garvey JL, MacLeod BA, Sopko G, Hand MM. Pre-hospital 12-lead electrocardiography programs: a call for implementation by emergency medical services systems providing advanced life support-National Heart Attack Alert Program (NHAAP) Coordinating Committee; National Heart, Lung, and Blood Institute (NHLBI) ; National Institutes of Health. J Am Coll Cardiol. 2006; 47: 485-491.
24. Moyer P, Ornato JP, Brady WJ Jr, Davis LL, Ghaemmaghami CA, Gibler WB, Mears G, Mosesso VN Jr, Zane RD. Development of systems of care for ST-elevation myocardial infarction patients: the emergency medical services and emergency department perspective. Circulation. 2007; 116: 10.
25. Jollis JG, Roettig ML, Aluko AO, Anstrom KJ, Applegate RJ, Babb JD, Berger PB, Bohle DJ, Fletcher SM, Garvey JL, Hathaway WR, Hoekstra JW, Kelly RV, Maddox WT Jr, Shiber JR, Valeri FS, Watling BA, Wilson BH, Granger CB; Implementation of a statewide system for coronary reperfusion for ST-segment elevation myocardial infarction. JAMA. 2007; 298: 2371-2380.
26. Henry TD, Sharkey SW, Burke MN, Chavez IJ, Graham KJ, Henry CR, Lips DL, Madison JD, Menssen KM, Mooney MR, Newell MC, Pedersen WR, Poulose AK, Traverse JH, Unger BT, Wang YL, Larson DM. A regional system to provide timely access to percutaneous coronary intervention for ST-elevation myocardial infarction. Circulation. 2007; 116: 721-728.
27. Selker HP, Griffith JL, D'Agostino RB. A time-insensitive predictive instrument for acute myocardial infarction mortality: a multicenter study. Med Care. 1991; 29: 1196-1211.
28. Selker HP, Beshansky JR, Griffith JL, Aufderheide TP, Ballin DS, Bernard SA, Crespo SG, Feldman JA, Fish SS, Gibler WB, Kiez DA, McNutt RA, Moulton AW, Ornato JP, Podrid PJ, Pope JH, Salem DN, Sayre MR, Woolard RH. Use of the acute cardiac ischemia timeinsensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. A multicenter, controlled clinical trial. Ann Intern Med. 1998; 129: 845-855.
29. Selker HP, Beshansky JR, Griffith JL. Use of the electrocardiograph-based thrombolytic predictive instrument to assist thrombolytic and reperfusion therapy for acute myocardial infarction. A multicenter, randomized, controlled, clinical effectiveness trial. Ann Intern Med. 2002; 137: 87-95.
30. Moyer PFJ, Levine J, Beshansky J, Selker HP, Barnewolt B, Brown DFM, Cardoza JP Jr, Grossman SA, Jacobs A, Kerman B, Kimmelstein C, Larson R, Losordo D, Perlmutter M, Pozner C, Ramirez A, Rosenfield K, Ryan TJ, Zane RD, Cannon CP. Implications of the mechanical (PCI) vs. thrombolytic controversy for ST segment elevation myocardial infarction on the organization of emergency medical services: the Boston EMS experience. Crit Pat Cardiol. 2004; 3: 53-61.
31. Le May MR, Davies RF, Dionne R, Maloney J, Trickett J, So D, Ha A, Sherrard H, Glover C, Marquis JF, O'Brien ER, Stiell IG, Poirier P, Labinaz M. Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. Am J Cardiol. 2006; 98: 1329-1333.
32. Jacobs AK, Antman EM, Faxon DP, Gregory T, Solis P. Development of systems of care for ST-elevation myocardial infarction patients. Executive summary. Circulation. 2007; 116: 217-230.