Observational studyThe Journal of emergency medicine2019
Prevalence and Predictors of Delay in Seeking Emergency Care in Patients Who Call 9-1-1 for Chest Pain.
Observational study in The Journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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Who cites it
13 citing papers in PubMed.
- Acute Coronary Syndrome Risk Prediction Using Portable Cable-Free ECG Device Combined With Clinical Risk Assessment.JACC. Advances · 2026Article
- Influencing factors of patient delay for decision-making in older patients with acute coronary syndrome: a study based on the Andersen's Behavioral Model.Frontiers in public health · 2026Article
- Chest pain in a multi-ethnic population: A community-based study on sex differences in chest pain prevalence and care contacts.International journal of cardiology. Cardiovascular risk and prevention · 2025Article
- Number of comorbidities and the risk of delay in seeking treatment for coronary heart disease: a longitudinal study in Bogor City, Indonesia.Osong public health and research perspectives · 2024Article
- Upholding te mana o te wā: Māori patients and their families' experiences of accessing care following an out-of-hospital cardiac event.American heart journal plus : cardiology research and practice · 2023Article
- Delayed Diagnosis of Intracranial Trauma.Cureus · 2023Article
- Disparities in Level of Care and Outcomes Among Patients with COVID-19: Associations Between Race/Ethnicity, Social Determinants of Health and Virtual Hospitalization, Inpatient Hospitalization, Intensive Care, and Mortality.Journal of racial and ethnic health disparities · 2023Article
- Feasibility of patch-type wireless 12-lead electrocardiogram in laypersons.Scientific reports · 2023Article
- Your neighborhood matters: A machine-learning approach to the geospatial and social determinants of health in 9-1-1 activated chest pain.Research in nursing & health · 2022Article
- Role of HEART score in evaluating clinical outcomes among emergency department patients with different ethnicities.The Journal of international medical research · 2021Observational
- The Impact of COVID-19 on Diverse Older Adults and Health Equity in the United States.Frontiers in public health · 2021Article
- Unusual Fatigue and Failure to Utilize EMS Are Associated With Prolonged Prehospital Delay for Suspected Acute Coronary Syndrome.Critical pathways in cardiology · 2020Article
- Emergency Department Utilization for Patients Living With Sickle Cell Disease: Psychosocial Predictors of Health Care Behaviors.Annals of emergency medicine · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDelay in seeking medical treatment for suspected acute coronary syndrome can lead to negative patient outcomes.
objectiveOur aim was to evaluate the prevalence and predictors of delay in seeking care in high-risk chest pain patients with or without acute coronary syndrome (ACS).
methodsThis was a secondary analysis of an observational cohort study of patients transported by Emergency Medical Services for a chief complaint of chest pain. Important demographic and clinical characteristics were extracted from electronic health records. Two independent reviewers adjudicated the presence of ACS. Logistic regression was used to model the predictors of delay in seeking care.
resultsThe final sample included 743 patients (99% non-Hispanic). Overall, 24% presented > 12 h from onset of symptoms. Among those with ACS (n = 115), 14% presented > 12 h after onset of symptoms. Race, smoking, diabetes, and related symptoms were associated with delayed seeking behavior. In multivariate analysis, non-Caucasian race (black or others) was the only independent predictor of > 12 h delay in seeking care (odds ratio 1.4; 95% confidence interval 1.0-1.9).
conclusionsOne in four patients with chest pain, including 14% of those with ACS, wait more than 12 h before seeking care. Compared to non-blacks, black patients are 40% more likely to delay seeking care > 12 h.
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