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October 5, 2004JAMA

Racial and Ethnic Differences in Time to Acute Reperfusion Therapy for Patients Hospitalized With Myocardial Infarction

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Why the study?

Does nonwhite race/ethnicity increase time to acute reperfusion therapy in patients hospitalized with myocardial infarction?

Population

110,175 US patients with ST-segment elevation myocardial infarction or left bundle-branch block receiving…

Comparison

Nonwhite race/ethnicity vs White race/ethnicity

Design

Cohort

Authors

EBElizabeth H. Bradley

Discussion

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Overview

STEMI reperfusion delays for nonwhite patients may reflect hospital-level factors; extends prior disparity observations without establishing causality.

Structured PICO

Does nonwhite race/ethnicity increase time to acute reperfusion therapy in patients hospitalized with myocardial infarction?

P
Population
110,175 US patients with ST-segment elevation myocardial infarction or left bundle-branch block receiving reperfusion therapy (73,032 receiving fibrinolytic therapy; 37,143 receiving primary percutaneous coronary intervention) admitted between January 1, 1999, and December 31, 2002.
I
Intervention
Nonwhite race/ethnicity (African American/black, Hispanic, Asian/Pacific Islander)
C
Comparator
White race/ethnicity
O
Outcome
Minutes between hospital arrival and acute reperfusion therapy (door-to-drug and door-to-balloon times)

Racial and ethnic disparities in time to acute reperfusion therapy for STEMI are largely driven by the specific hospitals to which minority patients are admitted rather than differential treatment within the same hospital.

Cite This Study

Elizabeth H. Bradley (2004) studied this question.

synapsesocial.com/papers/6a19499fb71d9c859388d9bbhttps://doi.org/10.1001/jama.292.13.1563
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