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Cited by 57

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

Cavender, Matthew A., Rassi, Andrew N., Fonarow, Gregg C., Cannon, Christopher P., Peacock, W. Frank, Laskey, Warren K., Hernandez, Adrian F., Peterson, Eric D., Cox, Margueritte, Grau‐Sepulveda, Marie, Schwamm, Lee H., Bhatt, Deepak L.·2013·Clinical Cardiology

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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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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