The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Relationship of Race/Ethnicity With Door‐to‐Balloon Time and Mortality in Patients Undergoing Primary Percutaneous Coronary Intervention for ST‐Elevation Myocardial Infarction: Findings From Get With the Guidelines–Coronary Artery Disease
Abstract
Background: Prior studies have described racial/ethnic disparities in door‐to‐balloon (DTB) time for patients undergoing primary percutaneous coronary intervention (PCI). We sought to compare DTB time between different racial/ethnic groups undergoing primary PCI for ST‐elevation myocardial infarction in Get With the Guidelines (GWTG). Hypothesis: There may be differences in D2B time associated with race/ethnicity. Methods: We identified 7445 white (n = 6365), African American (n = 568), and Hispanic (n = 512) patients undergoing primary PCI. Results: There were no differences in the median DTB time between white (74 minutes; intraquartile range [IQR], 54–99), African American (77 minutes; IQR, 57–100), and Hispanic (75 minutes; IQR, 56–100) (P = 0.13) patients. There were no crude differences in DTB time ≤90 minutes; however, after adjusting for confounders, African American race was associated with lower odds of DTB time ≤90 minutes (odds ratio [OR]: 0.84; 95% confidence interval [CI]: 0.70‐0.99; P = 0.04). This association was seen in African American males (OR: 0.66; 95% CI: 0.55‐0.80) but not African American females (OR: 1.27; 95% CI: 0.96‐1.68). Overall, Hispanic ethnicity was not associated with a difference in DTB time ≤90 minutes (OR: 0.98; 95% CI: 0.77‐1.25; P = 0.88); although Hispanic males did have a slightly longer median DTB time compared with whites. During the study, the proportion of patients with DTB times ≤90 minutes increased for all groups, and mortality was similar between groups (white 3.8%, African American 3.0%, Hispanic 4.1%, P = 0.62). Conclusions: In GWTG‐Coronary Artery Disease, small differences in DTB times persist among different races/ethnicities. However, the proportion achieving DTB times ≤90 minutes has increased substantially for all patients over time, and there was no association between race/ethnicity and in‐hospital mortality.
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“data that shows Black heart attack patients wait longer than the recommended 90 min between ER entry and blockage mitigation and suffer increased mortality compared to White patients (Cavender et al., 2013; Lurie et al., 2005).”
From On race, human variation, and who gets and dies of sepsis (2022) · cites this paper as Cavender et al., 2013
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“An especially disappointing study found that over 2/3rds of US cardiologists surveyed on racial disparities in healthcare felt there were none”
From On race, human variation, and who gets and dies of sepsis (2022) · cites this paper as Cavender et al., 2013
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Writing Committee Members, Antman, E. M., Anbe, D. T., Armstrong, P. W., Bates, E. R., Green, L. A., Hand, M., Hochman, J. S., Krumholz, H. M., Kushner, F. G., et al. (2004) · Circulation · doi:10.1161/01.cir.0000134791.68010.fa · Cited by 8,356
Models for Longitudinal Data: A Generalized Estimating Equation Approach
Zeger, S. L., Liang, K.-Y., & Albert, P. S. (1988) · Biometrics · doi:10.2307/2531734 · Cited by 4,505
Sex and Racial Differences in the Management of Acute Myocardial Infarction, 1994 through 2002
Vaccarino, V., Rathore, S. S., WENGER, N. K., Frederick, P. D., Abramson, J. L., Barron, H. V., Manhapra, A., Mallik, S., & Krumholz, H. M. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa032214 · Cited by 543
Nallamothu, B. K., & Bates, E. R. (2003) · The American Journal of Cardiology · doi:10.1016/s0002-9149(03)00891-9 · Cited by 406
A Campaign to Improve the Timeliness of Primary Percutaneous Coronary Intervention
Krumholz, H. M., Bradley, E. H., Nallamothu, B. K., Ting, H. H., Batchelor, W. B., Kline-Rogers, E., Stern, A. F., Byrd, J. R., & Brush, J. E. (2008) · JACC: Cardiovascular Interventions · doi:10.1016/j.jcin.2007.10.006 · Cited by 311
Bradley, E. H. (2004) · JAMA · doi:10.1001/jama.292.13.1563 · Cited by 282
Improvements in Door-to-Balloon Time in the United States, 2005 to 2010
Krumholz, H. M., Herrin, J., Miller, L. E., Drye, E. E., Ling, S. M., Han, L. F., Rapp, M. T., Bradley, E. H., Nallamothu, B. K., Nsa, W., et al. (2011) · Circulation · doi:10.1161/circulationaha.111.044107 · Cited by 275
Get With the Guidelines for Cardiovascular Secondary Prevention: Pilot Results
LaBresh, K. A., Ellrodt, A. G., Gliklich, R., Liljestrand, J., & Peto, R. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.2.203 · Cited by 269
Skinner, J., Chandra, A., Staiger, D. O., Lee, J. A., & McClellan, M. (2005) · Circulation · doi:10.1161/circulationaha.105.543231 · Cited by 242
Cohen, M. G., Fonarow, G. C., Peterson, E. D., Moscucci, M. M., Dai, D. W. H., Hernandez, A. F., Bonow, R. O., & Smith, S. C. (2010) · Circulation · doi:10.1161/circulationaha.109.922286 · Cited by 148
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Macias-Konstantopoulos, W. L., Collins, K. A., Diaz, R., Duber, H. C., Edwards, C. D., Hsu, A. P., Ranney, M. L., Riviello, R. J., Wettstein, Z. S., & Sachs, C. J. (2023) · Western Journal of Emergency Medicine · doi:10.5811/westjem.58408 · Cited by 218
On race, human variation, and who gets and dies of sepsis
Brinkworth, J. F., & Shaw, J. G. (2022) · American Journal of Biological Anthropology · doi:10.1002/ajpa.24527 · Cited by 9
Metadata
- Authors
- Cavender, M. A., Rassi, A. N., Fonarow, G. C., Cannon, C. P., Peacock, W. F., Laskey, W. K., Hernandez, A. F., Peterson, E. D., Cox, M., Grau‐Sepulveda, M., Schwamm, L. H., & Bhatt, D. L.
- Venue
- Clinical Cardiology
- Publisher
- Wiley
- Published
- 2013-09-24
- Volume
- 36
- Issue
- 12
- Pages
- 749-756
- ISSN
- 0160-9289
- 1932-8737
- Cited by
- 57
- References
- 19
- Language
- en
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