Gender differences in scene time, transport time, and total scene to hospital arrival time determined by the use of a prehospital electrocardiogram in patients with complaint of chest pain

Journal of Emergency Medicine

Volumn 43, Issue 2, 2012, Pages 291-297

  Aguilar, Steve A ^a   Patel, Mitul ^b   Castillo, Edward ^a   Patel, Ekta ^c   Fisher, Roger ^d   Ochs, Ginger ^d   Pringle, John ^d   Mahmud, Ehtisham ^b   Dunford, James V ^a,e  

^a UCSD MEDICAL CENTER   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c Rural/Metro Ambulance of San Diego   (United States)

^d San Diego Fire Rescue Department   (United States)

^e City of San Diego Division of Emergency Medical Services   (United States)

Author keywords

acute myocardial infarction; AMI; cardiac care; electrocardiography; gender difference; health policy and outcome research; ischemia; myocardial infarction; prehospital; reperfusion

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL PROTOCOL; ELECTROCARDIOGRAM; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT TRANSPORT; PREHOSPITAL ELECTROCARDIOGRAM; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCENE TIME; SEX DIFFERENCE; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; THORAX PAIN; TIME; TOTAL SCENE TO HOSPITAL TIME; TRANSPORT TIME;

ADULT; AGED; CHEST PAIN; ELECTROCARDIOGRAPHY; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; RETROSPECTIVE STUDIES; SEX FACTORS; TIME FACTORS; TRANSPORTATION OF PATIENTS; URBAN HEALTH SERVICES;

EID: 84862655449     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2011.06.130     Document Type: Article

References (51)

1. D. Lloyd-Jones, R. Adams, and M. Carnethon American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics - 2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee Circulation 119 2009 480 486
2. C.J. Pepine Ischemic heart disease in women: facts and wishful thinking J Am Coll Cardiol 43 2004 1727 1730 (Pubitemid 38622505)
3. N. Bairey Merz, R.O. Bonow, and G. Sopko Women's Ischemic Syndrome Evaluation: current status and future research directions: report of the National Heart, Lung and Blood Institute workshop, October 2-4, 2002: executive summary Circulation 109 2004 805 807 (Pubitemid 38222904)
4. A.L. Blomkalns, A.Y. Chen, and J.S. Hochman 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) J Am Coll Cardiol 45 2005 832 837 (Pubitemid 40347306)
5. S.S. Rathore, J. Chen, and Y. Wang Sex differences in cardiac catheterization: the role of physician gender JAMA 286 2001 2849 2856 (Pubitemid 33126928)
6. W.A. Ghali, P.D. Faris, and P.D. Galbraith Sex differences in access to coronary revascularization after cardiac catheterization: importance of detailed clinical data Ann Intern Med 136 2002 723 732 (Pubitemid 34525671)
7. W.C. Chang, P. Kaul, and C.M. Westerhout Impact of sex on long-term mortality from acute myocardial infarction vs unstable angina Arch Intern Med 163 2003 2476 2484 (Pubitemid 37385790)
8. K.A. Schulman, J.A. Berlin, and W. Harless The effect of race and sex on physicians' recommendations for cardiac catheterization N Engl J Med 340 1999 618 626 (Pubitemid 29093722)
9. V.L. Roger, M.E. Farkouh, and S.A. Weston Sex differences in evaluation and outcome of unstable angina JAMA 283 2000 646 652 (Pubitemid 30069181)
10. J.H. Pope, T.P. Aufderheide, and R. Ruthazer Missed diagnoses of acute cardiac ischemia in the emergency department N Engl J Med 342 2000 1163 1170 (Pubitemid 30211047)
11. P. Kaul, W.C. Chang, C.M. Westerhout, M.M. Graham, and P.W. Armstrong Differences in admission rates and outcomes between men and women presenting to emergency departments with coronary syndromes CMAJ 177 2007 1193 1199 (Pubitemid 350178608)
12. L.J. Shaw, R.E. Shaw, and C.N. Merz Impact of ethnicity and gender differences on angiographic coronary artery disease prevalence and in-hospital mortality in the American College of Cardiology-National Cardiovascular Data Registry Circulation 117 2008 1787 1801 (Pubitemid 351507467)
13. N.C. Chandra, R.C. Ziegelstein, and W.J. Rogers Observations of the treatment of women in the United States with myocardial infarction. a report from the National Registry of Myocardial Infarction-I Arch Intern Med 158 1998 981 988 (Pubitemid 28213575)
14. A.M. Chang, B. Mumma, K.L. Sease, J.L. Robey, F.S. Shofer, and J.E. Hollander Gender bias in cardiovascular testing persists after adjustment for presenting characteristics and cardiac risk Acad Emerg Med 14 2007 599 605 (Pubitemid 46920980)
15. J.G. Canto, W.J. Rogers, L.J. Bowlby, W.J. French, D.J. Pearce, and W.D. Weaver The prehospital electrocardiogram in acute myocardial infarction: is its full potential being realized? National Registry of Myocardial Infarction 2 Investigators J Am Coll Cardiol 29 1997 498 505 (Pubitemid 27116089)
16. J.P. Curtis, E.L. Portnay, and Y. Wang The pre-hospital electrocardiogram and time to reperfusion in patients with acute myocardial infarction, 2000-2002: findings from the National Registry of Myocardial Infarction-4 J Am Coll Cardiol 47 2006 1544 1552
17. L. Karagounis, S.K. Ipsen, and M.R. Jessop Impact of field-transmitted electrocardiography on time to in-hospital thrombolytic therapy in acute myocardial infarction Am J Cardiol 66 1990 786 791 (Pubitemid 20352255)
18. D.B. Foster, J.H. Dufendach, C.M. Barkdoll, and B.K. Mitchell Prehospital recognition of AMI using independent nurse/paramedic 12-lead ECG evaluation: impact on in-hospital times to thrombolysis in a rural community hospital Am J Emerg Med 12 1994 25 31 (Pubitemid 24055919)
19. H.P. Selker, R.J. Zalenski, and E.M. Antman Prehospital ECG Ann Emerg Med 29 1997 20 24
20. R.B. Myers Prehospital management of acute myocardial infarction: electrocardiogram acquisition and interpretation, and thrombolysis by prehospital care providers Can J Cardiol 14 1998 1231 1240 (Pubitemid 28502531)
21. J.P. Ioannidis, D. Salem, P.W. Chew, and J. Lau Accuracy and clinical effect of out-of-hospital electrocardiography in the diagnosis of acute cardiac ischemia: a meta-analysis Ann Emerg Med 37 2001 461 470 (Pubitemid 32417571)
22. D.A. Morrow, E.M. Antman, and A. Sayah Evaluation of the time saved by prehospital initiation of reteplase for ST-elevation myocardial infarction: results of the Early Retavase-Thrombolysis in Myocardial Infarction (ER-TIMI) 19 trial J Am Coll Cardiol 40 2002 71 77 (Pubitemid 34701379)
23. J.D. Ferguson, W.J. Brady, and A.D. Perron The prehospital 12-lead electrocardiogram: impact on management of the out-of-hospital acute coronary syndrome patient Am J Emerg Med 21 2003 136 142 (Pubitemid 36396826)
24. C.J. Terkelsen, J.F. Lassen, and B.L. Norgaard Reduction of treatment delay in patients with ST-elevation myocardial infarction: impact of pre-hospital diagnosis and direct referral to primary percutaneous coronary intervention Eur Heart J 26 2005 770 777 (Pubitemid 40547079)
25. A.H. Brainard, W. Raynovich, D. Tandberg, and E.J. Bedrick The prehospital 12-lead electrocardiogram's effect on time to initiation of reperfusion therapy: a systematic review and meta-analysis of existing literature Am J Emerg Med 23 2005 351 356 (Pubitemid 40732274)
26. L.J. Morrison, S. Brooks, B. Sawadsky, A. McDonald, and P.R. Verbeek Prehospital 12-lead electrocardiography impact on acute myocardial infarction treatment times and mortality: a systematic review Acad Emerg Med 13 2006 84 89 (Pubitemid 41827298)
27. S.G. Rothrock, P. Brandt, B. Godfrey, S. Silvestri, and J. Pagane Is there gender bias in the prehospital management of patients with acute chest pain? Prehosp Emerg Care 5 2001 331 334 (Pubitemid 32964219)
28. L.E. Pezzin, P.M. Keyl, and G.B. Green Disparities in the emergency department evaluation of chest pain patients Acad Emerg Med 14 2007 149 156 (Pubitemid 46149381)
29. N.H. Benson, H. Sylvain, M.J. Nimmo, K.A. Dunn, P. Goodman, and K. O'Brien Influence of demographic variables in prehospital treatment of patients with chest pain Prehosp Emerg Care 1 1997 19 22
30. K.M. Takakuwa, F.S. Shofer, and J.E. Hollander The influence of race and gender on time to initial electrocardiogram for patients with chest pain Acad Emerg Med 13 2006 867 872 (Pubitemid 44094145)
31. P.S. Grim, T. Feldman, and R.W. Childers Evaluation of patients for the need of thrombolytic therapy in the prehospital setting Ann Emerg Med 18 1989 483 487
32. T.P. Aufderheide, G.E. Hendley, and R.K. Thakur The diagnostic impact of prehospital 12-lead electrocardiography Ann Emerg Med 19 1990 1280 1287 (Pubitemid 20377228)
33. P.J. Kudenchuk, M.T. Ho, and W.D. Weaver Accuracy of computer interpreted electrocardiography in selecting patients for thrombolytic therapy: MITI Project Investigators J Am Coll Cardiol 17 1991 1486 1491
34. T.P. Aufderheide, M.H. Keelan, and G.E. Hendley Milwaukee prehospital chest pain project: phase I: feasibility and accuracy of prehospital thrombolytic candidate selection Am J Cardiol 69 1992 991 996 (Pubitemid 23058992)
35. T.P. Aufderheide, G.E. Hendley, J. Woo, S. Lawrence, V. Valley, and S.L. Teichman A prospective evaluation of prehospital 12-lead ECG application in chest pain patients J Electrocardiol 24 Suppl 1992 8 13
36. T.P. Aufderheide, W.C. Haselow, and G.E. Hendley Feasibility of prehospital r-TPA therapy in chest pain patients Ann Emerg Med 21 1992 379 383
37. W.D. Weaver Time to thrombolytic treatment: factors affecting delay and their influence on outcome J Am Coll Cardiol 25 Suppl 1 1995 3S 9S
38. P.J. Kudenchuk, C. Maynard, and L.A. Cobb Utility of the prehospital electrocardiogram in diagnosing acute coronary syndromes: the Myocardial Infarction Triage and Intervention (MITI) Project J Am Coll Cardiol 32 1998 17 27 (Pubitemid 28351038)
39. J.C. McSweeney, M. Cody, P. O'Sullivan, K. Elberson, D.K. Moser, and B.J. Garvin Women's early warning symptoms of acute myocardial infarction Circulation 108 2003 2619 2623 (Pubitemid 37466801)
40. K.A. Milneer, M. Funk, and S. Richards Gender differences in symptom presentation associated with coronary heart disease Am J Cardiol 84 1999 396 399 (Pubitemid 29398657)
41. H.A. DeVon, C.J. Ryan, A.L. Ochs, and M. Shapiro Symptoms across the continuum of acute coronary syndromes: differences between women and men Am J Crit Care 17 2008 14 24
42. D.R. Zucker, J.L. Griffith, J.R. Beshansky, and H.P. Selker Presentations of acute myocardial infarction in men and women J Gen Intern Med 12 1997 79 87 (Pubitemid 27131228)
43. J. Herlitz, M. Starke, E. Hansson, E. Ringvall, B.W. Karlson, and L. Waagstein Characteristics and outcome among women and men transported by ambulance due to symptoms arousing suspicion of acute coronary syndrome Med Sci Monit 8 2002 CR251 CR256
44. J.S. Hochman, C.H. McCabe, and P.H. Stone Outcome and profile of women and men presenting with acute coronary syndromes: a report from TIMI IIIB J Am Coll Cardiol 30 1997 141 148 (Pubitemid 27357139)
45. R. Glaser, H.C. Herrmann, and S.A. Murphy Benefit of an early invasive management strategy in women with acute coronary syndromes JAMA 288 2002 3124 3129 (Pubitemid 36014129)
46. A.L. Blomkalns, A.Y. Chen, J.S. Hochman CRUSADE investigators 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 45 2005 832 837 (Pubitemid 40347306)
47. R. Malacrida, M. Genoni, and A.P. Maggioni A comparison of the early outcome of acute myocardial infarction in women and men. The Third International Study of Infarct Survival Collaborative Group N Engl J Med 338 1998 8 14 (Pubitemid 28040169)
48. A.R. Alconero Camarero, J.M. San José Garagarza, P. Muñoz Cacho, and J.L. Cobo Sánchez Gender differences in the hospitalization and reperfusion delays in the acute coronary syndrome Enferm Intensiva 20 2009 44 49
49. K.M. Takakuwa, F.S. Shofer, A.T. Limkakeng Jr., and J.E. Hollander Preferences for cardiac tests and procedures may partially explain sex but not race disparities Am J Emerg Med 26 2008 545 550 (Pubitemid 351755005)
50. R.L. McNamara, Y. Wang, J. Herrin NRMI Investigators Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction J Am Coll Cardiol 47 2006 2180 2186 (Pubitemid 43810139)
51. D.S. Pinto, A.J. Kirtane, and B.K. Nallamothu Hospital delays in reperfusion for ST-elevation myocardial infarction: implications when selecting a reperfusion strategy Circulation 114 2006 2019 2025 (Pubitemid 44706877)