在急诊室内心脏胸痛门诊时间的种族差异
Emad Awad1, Shilpa Raju1, Hesham Alsayyed2
1University of Utah, School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah.
The western journal of emergency medicine
|January 19, 2026
概括
患有心脏胸痛的西班牙裔/拉丁裔患者面临更长的急诊等待时间. 这项研究发现门诊时间增加了22%,突出显示了紧急心脏护理方面的差异.
科学领域:
- 紧急医疗 紧急医疗
- 健康 公平 卫生 公平
- 心脏病学 心脏病学
背景情况:
- 及时的急诊室 (ED) 评估对于心脏胸部疼痛至关重要.
- 关于ED等待时间的种族差异已被记录,但特定于心脏病的数据有限.
- 这项研究调查了心脏胸痛ED门到诊所时间的种族和民族差异.
研究的目的:
- 评估在急诊室 (ED) 的种族和民族差异,评估心脏胸痛患者的门诊时间.
- 为了确定特定的种族或种族群体经历更长的等待时间进行关键的心脏评估.
- 为旨在减少紧急心脏护理差异的干预提供信息.
主要方法:
- 在高等学术医院对心脏胸部疼痛 (2019-2025) 的成人ED访问的回顾性分析.
- 种族/种族分类 (白人,西班牙裔/拉丁裔,黑人,美洲原住民,亚洲人,其他/未知).
- 多变量通用线性建模用于评估种族/种族和门到临床医生的时间之间的关联,调整共变量.
主要成果:
- 在3925名患者中,门到诊所的总中位时间为15.9分钟.
- 未经调整的分析显示了不同组的显著差异 (P < .001).
- 调整后的分析显示,西班牙裔/拉丁裔患者比白人患者等待时间长22% (3.3分钟);其他组没有显示统计学上显著的调整差异.
结论:
- 与白人患者相比,心脏胸痛的西班牙裔/拉丁裔患者经历的ED门到临床医生的时间明显更长.
- 调查结果强调需要有针对性的干预措施,以确保对急性心脏病的公平和及时的紧急护理.
- 建议进行进一步的多站点研究,以验证和解决在紧急心脏护理获取中观察到的这些差异.
更多相关视频
06:22Author Spotlight: Advancing Cardiovascular Research — Tailored Langendorff Perfusion Techniques for Improved Experimental Outcomes
Published on: June 14, 2024
2.1K
06:29Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
11.0K
相关概念视频
Introduction Cardiac Emergencies
299
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
299
Flail Chest-I
631
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
631
Flail Chest-II
543
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
543
Chest Physiotherapy
1.7K
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.7K
Emerging Adulthood
638
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
638
Pain
1.3K
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
1.3K
