University of Illinois at Chicago College of Nursing, Chicago, IL, USA.
University of Illinois at Chicago College of Nursing, Chicago, IL, USA.
Heart Lung. 2014 Jul-Aug;43(4):270-7. doi: 10.1016/j.hrtlng.2014.04.019.
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.
探讨非西班牙裔黑人和非西班牙裔白种人到急诊科就诊时出现潜在急性冠脉综合征（ACS）的差异。
资源较少的个体健康状况较差，而这些个体中，有色人种所占比例不成比例。
本前瞻性研究在四家急诊科招募了 663 名患者。在基线、1 个月和 6 个月时测量了临床表现、治疗和患者报告的结局变量。
确诊 ACS 的黑人患者更年轻；收入较低；受教育程度较低；有更多的危险因素；症状更多，就诊前的院前延误时间更长。黑人患者出现心悸、异常疲劳和胸痛的症状时，其 ACS 确诊的可能性是白人患者的 3 倍以上。ACS 黑人患者在出院后 1 个月时就诊次数更多，症状更多。
与白人患者相比，黑人患者在急诊科就诊时的临床表现和结局仍存在显著的种族差异，这些症状提示 ACS。
