ArticleCirculation. Cardiovascular quality and outcomes2009
Elapsed time in emergency medical services for patients with cardiac complaints: are some patients at greater risk for delay?
Article in Circulation. Cardiovascular quality and outcomes, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Factors associated with longer time to treatment for patients with suspected acute coronary syndromes: a cohort study.Circulation. Cardiovascular quality and outcomes · 2014Trial
- Waiting for a hospital bed: Disparities in emergency department boarding.Journal of hospital medicine · 2026Article
- The role of mesolevel characteristics of the health care system and socioeconomic factors on health care use - results of a scoping review.International journal for equity in health · 2024Article
- Unveiling the Negative Customer Experience in Diagnostic Centers: A Data Mining Approach.Journal of multidisciplinary healthcare · 2024Article
- Preparation for Cancer Treatment: A Cross-Sectional Study Examining Patient Self-Reported Experiences and Correlates.International journal of environmental research and public health · 2022Article
- Disparities in Emergency Medical Services Time Intervals for Patients with Suspected Acute Coronary Syndrome: Findings from the North Carolina Prehospital Medical Information System.Journal of the American Heart Association · 2021Article
- Factors affecting emergency medical dispatchers' decision-making: a qualitative study.Journal of multidisciplinary healthcare · 2018Article
- Sex Disparities in Access to Acute Stroke Care: Can Telemedicine Mitigate this Effect?Journal of health disparities research and practice · 2016Article
- An overview of shiraz emergency medical services, dispatch to treatment.Iranian Red Crescent medical journal · 2013Article
- [Gender aspects in cardiovascular diseases].Zeitschrift fur Gerontologie und Geriatrie · 2013Article
- Petroleum and health care: evaluating and managing health care's vulnerability to petroleum supply shifts.American journal of public health · 2011Article
- Recent advances in the management of chronic stable angina I: approach to the patient, diagnosis, pathophysiology, risk stratification, and gender disparities.Vascular health and risk management · 2010Review
- Women and cardiovascular medicine.Journal of cardiovascular translational research · 2009Article
- Electrocardiographic indicators of acute coronary syndrome are more common in patients with ambulance transport compared to those who self-transport to the emergency department journal of electrocardiology.Journal of electrocardiologyArticle
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Authors and funding
8 authors.
Funding
Abstract
backgroundIn patients with a major cardiac event, the first priority is to minimize time to treatment. For many patients, first contact with the health system is through emergency medical services (EMS). We set out to identify patient-level and neighborhood-level factors that were associated with elapsed time in EMS. METHODS AND
resultsA retrospective cohort study was conducted in 10 municipalities in Dallas County, Tex, from January 1 through December 31, 2004. The data set included 5887 patients with suspected cardiac-related symptoms. The region was served by 29 hospitals and 98 EMS depots. Multivariate models included measures of distance traveled, time of day, day of week, and patient and neighborhood characteristics. The main outcomes were elapsed time in EMS (continuous; in minutes) and delay in EMS (dichotomous; >15 minutes beyond median elapsed time). We found positive associations between patient characteristics and both average elapsed time and delay in EMS care. Variation in average elapsed time was not large enough to be clinically meaningful. However, approximately 11% (n=647) of patients were delayed >or=15 minutes. Women were more likely to be delayed (adjusted odds ratio, 1.52; 95% confidence interval, 1.32 to 1.74), and this association did not change after adjusting for other characteristics, including neighborhood socioeconomic composition.
conclusionsCompared with otherwise similar men, women have 50% greater odds of being delayed in the EMS setting. The determinants of delay should be a special focus of EMS studies in which time to treatment is a priority.
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