Evidence map›Paper›PMID 40065403›Full record

ArticleInternational journal for equity in health2025

Ethnic disparities in STEMI outcomes among older adults: a comparative study of bedouins and jews.

Sagi Shashar, Vladimir Zeldetz, Aryeh Shalev, Orit Barret, Yan Press, David Shamia, Boris Punchik

Abstract readComparative Study
In one paragraph

Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sagi Shashar *Clinical Research Center, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Be'er Sheva, 84101, Israel. shasharsagi1@gmail.com.
Vladimir Zeldetz *Department of Emergency Medicine, Soroka University Medical Center, Beer-Sheva, Israel.
Aryeh ShalevDepartment of Cardiology, Soroka University Medical Centre, Beer Sheva, Israel.
Orit BarretDepartment of Cardiology, Soroka University Medical Centre, Beer Sheva, Israel.
Yan PressDepartment of Geriatrics, Soroka Medical Center, Beer-Sheva, Israel.
David ShamiaDepartment of Cardiology, Soroka University Medical Centre, Beer Sheva, Israel.
Boris PunchikUnit for Community Geriatrics, Division of Health in the Community, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundST-Elevation Myocardial Infarction (STEMI) is a critical condition, especially in the older population, who are at increased risk due to comorbidities and delayed diagnosis. This study aimed to investigate the impact of ethnicity on the clinical characteristics, treatment timelines, and outcomes of older patients with STEMI in southern Israel, comparing Jewish and Bedouin populations.

methodsWe conducted a retrospective cohort study at Soroka University Medical Center from 2016 to 2022, including older patients (≥ 65 years) diagnosed with STEMI. Patients were grouped by ethnicity: Jews and Bedouins. Data on demographics, comorbidities, treatment timelines, and clinical outcomes were collected. Statistical analysis included a comparison analysis and a multivariable logistic regression, adjusting for potential confounders.

results575 older patients diagnosed with STEMI were included in the study, of them 469 Jews (81.6%) and 106 Bedouins (18.4%). The mean age of the cohort was 74.35 ± 7.33 years, with no significant difference between Jews (74.56 years 7.53) and Bedouins (73.40 ± 5.99 years, p = 0.139). Bedouins had higher rates of diabetes (53.8% vs. 40.7%, p = 0.019) and smoking (40.6% vs. 27.9%, p = 0.015) and were less likely to arrive by ambulance (39.6% vs. 62.5%, p < 0.00). Bedouins also experienced longer median times from pain onset to first medical contact (126.5 min vs. 90.0 min, p = 0.006) and total ischemic time (240.0 min vs. 205.0 min, p = 0.003). Despite these differences, there were no significant differences in in-hospital mortality (13.2% Bedouins vs. 10.9% Jews, p = 0.606), 30-day mortality (14.2% Bedouins vs. 11.5% Jews, p = 0.556), or one-year mortality (21.7% Bedouins vs. 20.9% Jews, p = 0.959). Multivariable analysis confirmed no significant association between ethnicity and mortality outcomes.

conclusionsDespite the higher prevalence of comorbidities among Bedouin patients, less likely to arrive by ambulance, and experienced longer delays in receiving care, their mortality outcomes were comparable to Jewish patients. These findings highlight the effectiveness of the acute care system in southern Israel. However, further research is needed to explore potential differences in other outcomes, such as quality of life and functional recovery, to better address healthcare disparities in this population.

Indexed as

ArabsHealthcare DisparitiesJewsST Elevation Myocardial InfarctionAgedAged, 80 and overFemaleHumansIsraelMaleRetrospective StudiesBedouinsCardiovascular outcomesEthnicityHealthcare accessHealth disparitiesJewsOlder patientsSouthern IsraelST-Elevation myocardial infarction (STEMI)

Identifiers

PMID40065403
PMCPMC11895306

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.