Disparities in patients presenting to the emergency department with potential acute coronary syndrome: It matters if you are Black or White

Holli A DeVon; Larisa A Burke; Heather Nelson; Julie J Zerwic; Barth Riley

doi:10.1016/j.hrtlng.2014.04.019

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Disparities in patients presenting to the emergency department with potential acute coronary syndrome: It matters if you are Black or White

Journal article

Peer reviewed

Disparities in patients presenting to the emergency department with potential acute coronary syndrome: It matters if you are Black or White

Holli A DeVon, Larisa A Burke, Heather Nelson, Julie J Zerwic and Barth Riley

Heart & lung, Vol.43(4), pp.270-277

07/2014

DOI: 10.1016/j.hrtlng.2014.04.019

PMCID: PMC4082800

PMID: 24992880

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https://www.ncbi.nlm.nih.gov/pmc/articles/4082800View

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Abstract

To explore disparities between non-Hispanic Blacks and non-Hispanic Whites presenting to the emergency department (ED) with potential acute coronary syndrome (ACS). Individuals with fewer resources have worse health outcomes and these individuals are disproportionately those of color. This prospective study enrolled 663 patients in four EDs. Clinical presentation, treatment, and patient-reported outcome variables were measured at baseline, 1, and 6 months. Blacks with confirmed ACS were younger; had lower income; less education; more risk factors; more symptoms, and longer prehospital delay at presentation compared to Whites. Blacks experiencing palpitations, unusual fatigue, and chest pain were more than 3 times as likely as Whites to have ACS confirmed. Blacks with ACS had more clinic visits and more symptoms 1 month following discharge. Significant racial disparities remain in clinical presentation and outcomes for Blacks compared to Whites presenting to the ED with symptoms suggestive of ACS.

Acute coronary syndrome

African American

Health disparities

Race

Symptoms

Details

Title: Subtitle: Disparities in patients presenting to the emergency department with potential acute coronary syndrome: It matters if you are Black or White
Creators: Holli A DeVon - University of Illinois at Chicago College of Nursing, Chicago, IL, USA
Larisa A Burke - University of Illinois at Chicago College of Nursing, Chicago, IL, USA
Heather Nelson - Salem Health Systems, Salem, OR, USA
Julie J Zerwic - University of Illinois at Chicago College of Nursing, Chicago, IL, USA
Barth Riley - University of Illinois at Chicago College of Nursing, Chicago, IL, USA
Resource Type: Journal article
Publication Details: Heart & lung, Vol.43(4), pp.270-277
DOI: 10.1016/j.hrtlng.2014.04.019
PMID: 24992880
PMCID: PMC4082800
NLM abbreviation: Heart Lung
ISSN: 0147-9563
eISSN: 1527-3288
Publisher: Mosby, Inc
Grant note: DOI: 10.13039/100000056, name: National Institute of Nursing Research, award: R01NR012012
Language: English
Date published: 07/2014
Academic Unit: Nursing Administration and Gen; Nursing
Record Identifier: 9984119914202771

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