June 25, 2007Heart
Ethnic differences in healthcare-seeking behaviour and management for acute chest pain: secondary analysis of the MINAP dataset 2002–2003
Key result
South Asian patients with chest pain were less likely to arrive by ambulance (OR 0.64; 95% CI 0.60-0.69; p<0.001) but more likely to receive thrombolysis (OR 1.19; 95% CI 1.10-1.30; p<0.001).
Why the study?
Are there ethnic differences in healthcare-seeking behaviour and management for acute chest pain?
Population
Patients attending accident and emergency departments with chest pain in hospitals in England and Wales from…
Comparison
South Asian ethnicity (exposure) vs Other ethnicities (implied reference group)
Design
Cohort
Authors
Discussion
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Implication
Ethnic disparities in ambulance use for chest pain may reflect access barriers; leaves open mechanisms and need for targeted studies before practice change.
Study Design
Type
Cohort
Multicenter
Yes
Structured PICO
Are there ethnic differences in healthcare-seeking behaviour and management for acute chest pain?
P
Population
Patients attending accident and emergency departments with chest pain in England and Wales between 2002 and 2003.
E
Exposure
South Asian ethnicity (exposure)
C
Comparator
Other ethnicities (implied reference group)
O
Outcome
Whether patients arrived by ambulance, whether they received thrombolysis, and the time from symptom onset to hospital arrival and thrombolysis
Main Result
Odds Ratio: 0.64 (95% CI 0.6–0.69)
p-value: p=<0.001
South Asian patients with acute chest pain are less likely to use ambulances but more likely to receive thrombolysis, highlighting significant ethnic differences in healthcare-seeking behavior and clinical management.
Cite This Study
Ben‐Shlomo et al. (2007) conducted a cohort in Acute chest pain. South Asian ethnicity vs. Other ethnicities was evaluated on Arrival by ambulance (OR 0.64, 95% CI 0.60 to 0.69, p=<0.001). South Asian patients with chest pain were less likely to arrive by ambulance (OR 0.64; 95% CI 0.60-0.69; p<0.001) but more likely to receive thrombolysis (OR 1.19; 95% CI 1.10-1.30; p<0.001).