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January 1, 2002Medical Care

Delay in Presentation for Cardiac Care by Race, Age, and Site of Care

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Key result

Among patients awaiting coronary angiography, 73% delayed seeking care for ≥1 month; race was not associated with delay, but VA site of care predicted longer delays.

Population

1,652 patients awaiting coronary angiography at three VA and one non-VA Medical Center

Design

Cross-sectional

Authors

JCJoseph ConigliaroNorthwell HealthJWJeff WhittlePreventive CardiologyCGChester B. GoodUniversity of Pittsburgh

Discussion

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Implication

VA care site may drive delays before angiography; hypothesis-generating for access interventions, pending prospective confirmation.

Study Design

Type

Cross-Sectional (n=1,652)

Multicenter

Yes

Structured PICO

P
Population
1,652 patients awaiting coronary angiography at three VA and one non-VA Medical Center.
O
Outcome
Time between symptom onset and presentation for medical carepatient reported

Race does not appear to be associated with delay in seeking care among patients awaiting coronary angiography, but site of care and prior revascularization are significant predictors.

Cite This Study

Conigliaro et al. (2002) conducted a cross-sectional in Coronary artery disease (n=1,652). Race (Black vs. White) and Site of Care (VA vs. non-VA) was evaluated on Time between symptom onset and presentation for medical care. Among patients awaiting coronary angiography, 73% delayed seeking care for ≥1 month; race was not associated with delay, but VA site of care predicted longer delays.

synapsesocial.com/papers/6a20a6cd8b0daa6b96cd3077https://doi.org/10.1097/00005650-200201001-00011

Topics

Coronary artery disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of Race on the Presentation and Management of Patients with Acute Chest Pain1993 · 305 citations
  2. 2Understanding Racial Variation in the Use of Coronary Revascularization Procedures2000 · 105 citations
  3. 3Diagnoses, symptoms, and attribution of symptoms among black and white inpatients admitted for coronary heart disease.1994 · 86 citations
  4. 4Incidence of Myocardial Infarction and Sudden Death from Coronary Heart Disease in Nashville, Tennessee1971 · 60 citations
  5. 5Racial differences in the use of revascularization procedures after coronary angiography1993 · 65 citations