在急诊室患有胸部疼痛的患者中,托罗宁和心电图测试的差异
Michael Gottlieb1, Eric Moyer1, Vinodinee Dissanayake1
1Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.
在急诊室发现胸痛诊断测试的差异. 女性和非白人患者接受的心电图 (ECG) 和热素检测较少,而非英语说话者接受的更多.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 以前的研究表明,在胸痛评估中存在种族和性别差异,但受到小样本大小的限制.
- 本研究通过检查胸痛诊断测试的国家实践模式来解决这些局限性.
- 专注于急诊室 (ED) 患有胸痛或痛等同症状的患者.
研究的目的:
- 为了评估心电图 (ECG) 和素检测率的差异.
- 根据患者的性别,种族,民族和主要口语来分析这些变化.
- 确定ED胸痛诊断工作中的潜在差异.
主要方法:
- 使用Epic Cosmos研究平台进行回顾性队列研究 (01/01/2016-12/31/2023).
- 包括成人ED访问胸痛或痛等效症状.
- 分析了使用条件后勤回归对人口结构分层的心电图和热素测试率.
主要成果:
- 超过3700万次的患者访问符合纳入标准.
- 电脑心电图测试在男性,亚洲患者和非英语人士中更频繁,但在黑人/非裔美国人和其他非白人患者中不太频繁.
- 热素测试在男性和非英语说者中更常见,但在西班牙裔/拉丁裔和非白人患者中不太常见.
结论:
- 对于患有ED胸痛症状的患者,在心电图和素测试中存在显著差异.
- 女性和非白人患者的检测率较低.
- 主要说非英语语言的患者的测试率更高.
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